蒙古肝移植十年:经济见解和成本分析
Amarjargal Tsengel1,2, Sergelen Orgoi3, Otgonbayar Damdinbazar4
1First Central Hospital of Mongolia, Ulaanbaatar, Mongolia.
Health economics review
|July 19, 2024
概括
在蒙古,肝移植的平均成本为39 589美元. 这项研究分析了143个病例,根据Child-Turcotte-Pugh得分发现了显著的成本差异,突出了未满足的医疗保健需求.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 移植手术 移植手术
- 卫生经济学 卫生经济学
背景情况:
- 蒙古十年前开始进行肝移植,这是其第46次全球成功.
- 在蒙古,一个中低收入国家,肝脏移植仍然很昂贵.
- 这项研究解决了量化肝移植治疗费用的必要性.
研究的目的:
- 为了确定蒙古的肝脏移植的平均成本.
- 分析基于患者疾病严重程度得分的成本变化.
- 确定导致整体治疗费用的因素.
主要方法:
- 使用二次数据的回顾性研究设计.
- 对蒙古第一中央医院 (2011-2021) 143例肝移植病例的分析.
- 成本分为直接和间接组成部分,通过MELD和CTP分数进行进一步分析.
主要成果:
- 肝移植的平均成本是39589美元±10308美元.
- 直接成本 (79.6%) 主要包括药品,设备和用品 (71%).
- 根据末期肝病模型 (MELD) 评分,成本没有显著差异,但根据儿童-图尔科特-普格 (CTP) 评分 (P=0.015) 显著差异.
结论:
- 蒙古的平均肝移植治疗费用为39 589美元.
- 高昂的成本和超过300名患者的等待列表表明,医疗保健需求大量未得到满足.
- 了解成本驱动因素对于改善获得这种救命程序至关重要.
相关概念视频
01:28Kidney Transplant I: Introduction
827
A kidney transplant is a surgical approach that involves replacing a non-functioning kidney with a healthy one from a donor. This procedure is often a treatment option for end-stage renal disease (ESRD) patients. The method requires careful recipient selection, including evaluating various medical and psychosocial factors. These criteria vary between transplant centers but generally include assessments of the patient's overall health, adherence to medical recommendations, and lifestyle...
827
01:26Kidney Transplant II: Surgical Procedure
926
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
926