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经济分析巴西南部一家私人医院的落-一个案例对照研究
Victor Antoniazi Gonzalez1, Larissa Luma Tomasi Febras2, Cássia Cristina Damásio de Lima2
1Faculty of Health Sciences Moinhos de Vento, Port Alegre, Brazil.
International journal of nursing practice
|October 21, 2024
概括
医院内倒显著增加了医疗保健成本. 这项研究发现,跌倒患者的中位成本高于非跌倒者,特别是在年轻男性中,突出了普遍预防跌倒策略的必要性.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 患者安全 患者安全
- 临床风险管理临床风险管理
背景情况:
- 医院内摔倒带来了重大的健康和经济挑战.
- 之前对跌倒的经济分析没有充分控制诸如并发症等混因素.
研究的目的:
- 分析住院跌倒的经济成本.
- 为了比较跌倒和没有跌倒的患者之间的成本,同时考虑跌倒风险因素.
主要方法:
- 从2020年1月到2022年12月在巴西一家私立医院收集的数据.
- 患者被分为失败者和非失败者 (1:2比),并根据混变量匹配对照.
主要成果:
- 患有跌倒的患者的中位成本为7520.26美元,而没有跌倒的患者则为6144.24美元 (p < 0.01).
- 跌倒的年轻男性 (20-40岁) 的中位成本 (US$29,722.02) 与没有跌倒的男性 (US$1179.48) 相比显著更高 (p < 0.01).
结论:
- 医院倒闭大大增加了财务成本,无论伴随疾病或住院时间长短.
- 建议所有住院患者采取普遍的防摔方法,以减少经济负担.
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