现实世界治疗模式,医疗保健资源利用和费用在美国医疗保险人口与支气管切除症
Joseph Tkacz1, Benjamin Lewing1, Joseph Feliciano2
1Inovalon, Bowie, MD.
Journal of managed care & specialty pharmacy
|August 30, 2024
概括
支气管切除症显著增加医疗保健成本和资源使用,因为频繁的恶化. 有效的管理策略对于减轻这种巨大的经济和临床负担至关重要.
科学领域:
- 肺部病理学 肺部病理学
- 卫生经济学 卫生经济学
- 现实世界的证据.
背景情况:
- 支气管切除症给医疗保健系统带来了相当大的经济负担.
- 频繁的恶化和肺部感染导致治疗和住院费用高昂.
研究的目的:
- 量化美国医疗保健资源利用率 (HCRU) 和支气管病患者的成本.
- 评估支气管病变恶化的经济影响.
主要方法:
- 对医疗保险服务费用数据 (2014-2020年) 的回顾性分析.
- 92529名支气管切除症患者和匹配对照组之间的HCRU和成本的比较.
- 根据基线恶化次数 (0,1,≥2) 进行分层分析.
主要成果:
- 与对照组相比,支气管切除症患者的费用更高,HCRU (医生诊所,住院,急救诊所) 更高.
- 支气管切除症患者的总医疗费用为10,224美元,对照组为6,704美元.
- 费用随着恶化频率的增加而增加,在2个以上的基线恶化患者中达到14,790美元.
结论:
- 支气管切除 represent 一个显著的现实世界的健康负担.
- 恶化会大幅增加HCRU和相关成本.
- 需要改进管理,以减少恶化及其经济影响.
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