切除术中的成本 护理情节:防止紧急手术和降低成本的机会
Van Christian Sanderfer1, Samuel Ross1, Brent Matthews1
1Department of Surgery, Carolinas Medical Center, Atrium Health, Charlotte, North Carolina.
The Journal of surgical research
|May 26, 2024
概括
紧急肠道手术在主要肠道治疗 (MB-EoC) 中显著增加了成本. 增加查结肠镜检查可以减少这些更高的医疗保健成本.
科学领域:
- 卫生经济学 卫生经济学
- 外科手术的结果
- 公共卫生 公共卫生
背景情况:
- 护理 (EoC) 支付模式的支付模式激励了治疗后减少医疗保健使用.
- 关怀大肠发作 (MB-EoC) 是一般外科手术的一个重点.
- 这项研究调查了紧急肠道手术对MB-EoC成本的影响.
研究的目的:
- 确定紧急肠道外科手术对主要肠道病例护理成本增加的贡献.
- 分析与MB-EoC相关的成本驱动因素和患者人口统计数据.
- 评估预先查结肠镜对符合条件的癌症病例成本的影响.
主要方法:
- 对1292例成年MB-EoC切除术病例的回顾性审查 (2018年7月至2021年6月).
- 对90天的费用,患者年龄,保险,诊断和费用贡献者的分析.
- 在非选择性结肠癌病例 (年龄≥45岁) 中检查先前查结肠镜发生率.
主要成果:
- 突发的MB-EoC病例在90天内比选择性病例昂贵66%.
- 非选择性病例与更高的医疗补助/不足保险率和放学后成本增加有关.
- 对于结肠癌患者来说,紧急病例的90天费用比选择性病例高39%.
- 43%的符合条件的新出现的结肠癌病例在10年内进行了先前的查结肠镜检查.
结论:
- 紧急肠道手术在MB-EoC中不成比例地提高了90天的医疗保健利用率和成本.
- 查结肠镜的有针对性的增加可能会大大降低MB-EoC的支出.
- 了解成本驱动因素对于优化外科手术中的基于价值的护理模式至关重要.
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