在部骨折后等待手术-健康和/或经济风险?
Franziska Saxer1,2,3, Christoph Hatz1,3, Werner Vach4
1Medical Faculty, University Basel, Basel, Switzerland.
The International journal of health planning and management
|September 24, 2024
概括
减少关节骨折手术等待时间并没有减少停留时间 (LOS) 或成本. 需要进一步优化流程以提高成本效益和患者的结果,因为长时间的等待仍然与较差的结果相关.
科学领域:
- 整形外科手术 整形外科手术
- 医疗服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 等待关节骨折手术可能会对患者的结果,停留时间 (LOS) 和治疗费用产生负面影响.
- 流程优化是提高手术护理质量和成本效益的潜在策略.
- 了解影响等待时间的因素及其与结果的相关性对于医疗保健管理至关重要.
研究的目的:
- 调查关节骨折手术等待时间与患者特征,组织变量,结果和LOS之间的相关性.
- 分析等待时间和LOS随时间的分布,并估计相关成本.
- 确定在管理手术等待时间方面进行组织改进的机会.
主要方法:
- 来自瑞士创伤中心的十年常规健康数据的回顾性分析.
- 包括2572名年龄在60岁及以上的患有低能耗关节骨折的患者.
- 根据瑞士的诊断相关群体和每日费用计算成本估计.
主要成果:
- 超过48小时的等待时间与不理想的患者结果有关.
- 多年来,长时间的等待时间减少了,但LOS在大约10天内保持稳定.
- 晚期出院到住院康复是持续LOS的主要驱动因素.
结论:
- 尽管等待时间缩短了,但由于复杂的患者旅程依赖性,LOS和医疗成本的节省尚未实现.
- 管理等待时间为提高成本效益提供了机会,特别是长时间等待与劣质结果和LOS有关.
- 进一步研究优化整个患者途径对于改善关节骨折护理的临床和经济方面至关重要.
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