高成本患者的子组及其在中国农村地区可预防的住院费用
Shan Lu1,2, Yan Zhang1,2, Ting Ye1,2
1School of Medicine and Health Management, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
International journal of health policy and management
|August 5, 2024
概括
高成本患者被分为14个子组,显示出不同的医疗保健需求. 慢性病患者的住院费用最高,可预防,这表明有针对性的干预措施对于降低成本至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗保健经济学 医疗经济学
背景情况:
- 高成本的患者占医疗保健开支的重要和异质部分.
- 了解高成本患者的异质性对于有效的成本控制至关重要.
研究的目的:
- 将高成本患者分为临床上同质的子组.
- 描述这些子组内的医疗保健利用模式.
- 在中国农村地区确定高可预防的住院费用 (PIC) 的子组.
主要方法:
- 一项基于人口的回顾性研究,使用来自中国农村的索赔数据.
- 确定了前10%的高成本患者 (32,108人).
- 采用基于密度的集群算法和专家意见来进行子组分类. 基于潜在可预防住院病例 (PPHs) 计算的PIC.
主要成果:
- 确定了14个不同的高成本患者子组.
- 小组在医疗保健利用 (入院,住院时间,门诊) 和支出方面存在显著差异.
- 慢性病子组的PIC比例最高 (10.57%的总支出).
结论:
- 将高成本患者分为14个子组的分类揭示了医疗保健利用和支出情况的多样性.
- 有针对性的策略是必要的,以减少可预防的住院治疗在不同的子组.
- 为降低成本,建议对患有慢性疾病的高成本患者优先进行干预.
相关概念视频
Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Preventive Healthcare Services
979
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
979
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Traditional Level Of Health Care System
2.7K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.7K


