了解儿童尾炎MRI的供应商成本:以时间驱动的基于活动的成本分析
Pradipta Debnath1, Shireen Hayatghaibi2, Andrew T Trout3
1Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. Electronic address: https://twitter.com/pro_debnath.
Journal of the American College of Radiology : JACR
|June 16, 2024
概括
尾炎的快速MRI比其他MRI检查更具成本效益. 为这些快速MRI检查制定适当的计费对于患者的成本效益和更广泛的儿科使用至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 卫生经济学 卫生经济学
- 成本分析 成本分析
背景情况:
- 磁共振成像 (MRI) 是一个关键的诊断工具.
- 尾炎的诊断通常涉及成像,MRI提供无辐射的选择.
- 当前的计费做法可能不准确地反映了快速MRI协议的成本.
研究的目的:
- 为了确定尾炎快速MRI的提供者成本.
- 为了将这一成本与使用类似计费代码的其他MRI检查进行比较.
- 为有限的MRI序列提供成本效益和计费策略的信息.
主要方法:
- 使用基于时间驱动的基于活动的成本计算.
- 过程图是通过直接观察和专业反来创建的.
- 根据人员,设备,设施费率和程序持续时间计算成本.
主要成果:
- 快速MRI尾炎检查平均需要11分钟,费用为20.03美元.
- 与较长,更复杂的MRI扫描相比,快速尾炎MRI的成本要低得多.
- 没有对比度的MRI骨盆:55分钟,105.99美元;没有对比度的MRI腹部/骨盆:65分钟,144.83美元;有对比度的MRI腹部/骨盆:128分钟,236.99美元.
结论:
- 尾炎的快速MRI比其他MRI检查要便宜得多.
- 当前的计费代码可能与快速MRI的实际成本不一致.
- 需要改进的计费机制,以提高成本效益,并促进更广泛地使用快速MRI,特别是在儿科.
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