2019年新冠肺炎患者的门诊remdesivir治疗计划:患者的看法,过程和经济影响
Supavit Chesdachai1, Christina G Rivera2, Jordan K Rosedahl3
1Division of Public Health, Infectious Diseases, and Occupational Medicine, Mayo Clinic, Rochester, MN, USA.
Healthcare (Amsterdam, Netherlands)
|August 14, 2024
概括
作为门诊患者继续治疗COVID-19的remdesivir治疗改善了患者的满意度,并大大降低了医疗保健成本. 这种方法还为其他急症护理需求释放了医院床位.
科学领域:
- 传染性疾病 传染性疾病
- 卫生经济学 卫生经济学
- 以患者为中心的护理
背景情况:
- 雷梅西维尔是FDA批准的抗病毒药物,用于住院患者的严重COVID-19.
- 早期的临床改善使得一些患者在完成标准的5天雷梅西维尔疗程之前就能出院.
- 之前的研究表明,患者继续在门诊治疗雷梅西维尔的28天后的结果有所改善.
研究的目的:
- 评估患者在门诊环境中继续治疗雷梅西维尔的观点.
- 评估将COVID-19患者转换为门诊治疗的经济影响.
- 确定对医院资源利用率的影响.
主要方法:
- 在梅奥诊所 (11/2020-11/2021) 继续治疗雷梅西维尔门诊的住院COVID-19患者的调查.
- 住院和门诊治疗群体之间的医疗保健费用比较.
- 分析患者的满意度和对护理质量的感知.
主要成果:
- 93/470 (19.8%) 符合条件的患者作出反应;响应者年龄较大.
- 大多数受访者 (70.5%) 的症状已经消失;11.4%的人报告了长期的COVID-19症状.
- 报告的门诊输液诊所护理的高患者满意度 (82.3%的质量,76.0%的整体经验).
- 预计成本:每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者) 每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01),每名患者 (p < .01)
- 估计有1,077个医院病床日被节省.
结论:
- 门诊的remdesivir计划有助于提前解雇患者,并受到人们的好评.
- 通过这种门诊转型实现了显著的成本节约.
- 该计划提高了医院对关键服务的资源可用性.
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