急性支气管炎:不遵守国家指南的经济影响
S Poço Miranda1, H Rodrigues2, S Oliveira3
1Pediatrics Department, Hospital Santa Luzia, Unidade Local de Saúde do Alto Minho, Viana do Castelo, Portugal; Faculty of Economics, University of Porto, Porto, Portugal.
Journal of healthcare quality research
|July 16, 2024
概括
坚持急性支气管炎国家指南可以显著降低医疗保健成本. 违规导致大量的浪费,主要来自不必要的门诊治疗,影响国家卫生服务.
科学领域:
- 儿科 儿科 儿科
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 急性支气管炎是儿童急诊室入院的常见原因.
- 现有证据表明,许多干预措施不会改变疾病的自然进展.
研究的目的:
- 评估不遵守葡萄牙国家急性支气管炎指南的经济后果.
- 量化通过遵守指导方针可实现的成本节约.
主要方法:
- 2019年在葡萄牙一家医院诊断出患有急性支气管炎的344例儿科紧急病例的回顾性分析.
- 评估违规率和相关成本.
主要成果:
- 在71.8%的病例中,观察到不遵守指南,主要是由于不合理的治疗.
- 遵守指南可能会导致估计的总体成本减少76.6%.
- 每名患者的平均直接成本下降了14.93欧元,为国家卫生服务节省了大量资金.
结论:
- 按照急性支气管炎指南,可以将总估计成本降低约76.6%,表明资源浪费.
- 大多数不合规成本来自门诊治疗,主要由国家卫生服务部门资助.
- 遵守指导方针可以降低成本,而不会对护理质量产生负面影响.
相关概念视频
Acute Respiratory Failure-V
129
The treatment for acute respiratory failure varies based on factors like the underlying cause, overall health, and severity. A collaborative healthcare team is essential for early detection, often through arterial blood gas analysis. Identifying the cause is the primary goal, with treatment strategies adjusted for ventilation/perfusion (V/Q) mismatch, shunting, or diffusion impairment.
Ensure that patients are monitored continuously for their response to therapy, including changes in...
Ensure that patients are monitored continuously for their response to therapy, including changes in...
129
Pulmonary Cycle: Exhalation
1.5K
In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
1.5K
Upper Respiratory Drugs: Antitussives, Expectorants, and Mucolytics
267
Respiratory symptoms, such as congestion and cough, commonly accompany respiratory tract conditions. Various medications, such as antitussives, expectorants, and mucolytics, play crucial roles in providing relief.
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
Antitussives include codeine, dextromethorphan (Robitussin), and benzonatate (Tessalon). Codeine and dextromethorphan exert their effects centrally by suppressing the cough reflex center in the medulla. Benzonatate operates peripherally within the respiratory tract by...
267
Asthma-III: Symptoms and Complications
2.5K
Asthma, a common chronic respiratory condition, is classified considering the frequency and severity of symptoms alongside lung function impairment. Understanding this classification is essential for appropriate treatment and management. Here's a detailed look at the classification of asthma and its clinical features and complications:
Classification of Asthma
Classification of Asthma
2.5K
Respiratory Assessment: Purpose and Indications
1.1K
Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
1.1K
Antiasthma Drugs: β2-Adrenoceptor Agonists
245
Bronchodilators are critical in managing asthma, a chronic respiratory condition characterized by airway constriction due to inflammation and hyper-reactivity. Specifically, bronchodilators ease this constriction by relaxing the bronchial muscles, facilitating easier breathing.
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
One class of bronchodilators includes β2-adrenoceptor agonists. These agents target the β2-adrenoceptors located on bronchial smooth muscle cells. By stimulating these receptors, β2-agonists induce...
245


