在美国的创伤中心,创伤激活费用各不相同
Kirstin Woody Scott1, Pooja U Neiman2, Mitchell Mead3
1Kirstin Woody Scott (kwscott@post.harvard.edu), University of Washington, Seattle, Washington.
Health affairs (Project Hope)
|August 5, 2024
概括
创伤激活费用各不相同,有些医院收费超过28,000美元. 在创伤中心定价方面缺乏标准化,这引发了人们对患者和提供者公平的护理资金的担忧.
科学领域:
- 卫生经济学 卫生经济学
- 创伤护理系统系统
- 医疗保健政策 医疗保健政策
背景情况:
- 创伤激活费用对于创伤中心来说至关重要,以保持24 / 7拯救生命的护理能力.
- 这些费用的显著变化和缺乏监管导致了更严格的审查.
研究的目的:
- 系统地描述美国创伤中心 (I-III级) 的创伤激活费用,使用医院价格透明度规则.
- 分析按付款人类型和医院特征的费用变化.
主要方法:
- 利用Turquoise健康数据库从美国创伤中心提取创伤激活费用.
- 分析数据截至2023年4月18日,重点关注公布的费用和付款人类型.
主要成果:
- 只有38%的美国创伤中心公布了他们的激活费用.
- 费用范围很大,从40美元 (医疗补助) 到28893美元 (商业付款人).
- 大型,大都会,西部和专营医院报告的费用显著更高 (60%高于公立医院).
结论:
- 创伤激活费的广泛,不必要的变化表明目前的融资模式中存在潜在的不公平.
- 这种变化对创伤中心或他们所服务的严重受伤患者来说可能不公平.
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