设施间竞争及其对手腕道释放成本的影响
David D Rivedal1,2, Meghan N Cichocki1,3, Yanlin Tong4
1Section of Plastic Surgery, Department of Surgery, University of Michigan Medical School, Ann Arbor, MI.
Plastic and reconstructive surgery
|September 9, 2024
概括
医疗保健市场的竞争并没有增加手腕道释放成本. 将手腕道释放程序转移到诊所和门诊外科中心可能会降低医疗保健费用.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 手术手术的结果
- 市场分析市场分析
背景情况:
- 带道释放 (CTR) 是一种常见的手术,但与医疗保健市场动态相关的成本尚不清楚.
- 人们对市场竞争和设施类型如何影响患者和保险公司对CTR的支付知之甚少.
研究的目的:
- 检查医疗保健市场竞争与设施可用性 (健行外科中心,医院门诊,门诊) 之间的关联,以及它们对手腕道释放 (CTR) 的自付和保险公司总支付的影响.
主要方法:
- 一项回顾性横截面研究分析了2015-2020年成人CTR患者的私人保险索赔.
- 线性回归评估了市场竞争 (Herfindahl-Hirschman指数) 和设施类型对成本的影响.
- 排除包括急性/住院CTR和缺乏地理数据的病例.
主要成果:
- 医院门诊部门 (HOPD) 的竞争减少与更低的自费费用和保险公司总支付相关.
- 门诊外科手术中心 (ASC) 竞争减少仅与保险公司总支付减少有关.
- 虽然门诊诊所的CTR增加了,但HOPD在2020年之前最常见,与ASC的受欢迎程度相匹配.
- 在研究期间,自付费用大幅增加,而保险公司的总支付在研究期间保持稳定.
结论:
- 医疗保健市场竞争减少与手腕道释放成本的增加无关,这表明成本复杂性.
- 这些发现支持将CTR程序转移到门诊和ASC以潜在降低医疗保健支出.
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