在泰国第一波数据期间,高成本用户仍然在COVID-19大流行期间来到医院:二级数据分析
Picharee Karunayawong1, Piyada Gaewkhiew2,3, Myka Harun Sarajan1
1Health Intervention and Technology Assessment Program (HITAP), Ministry of Public Health, Nonthaburi, Thailand.
BMC public health
|October 22, 2024
概括
在泰国COVID-19大流行期间,医疗保健中的高成本用户 (HCU) 仍然是一个显著的现象. 了解HCU特征和预测因素对于有针对性的干预和公平的资源分配至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 高成本用户 (HCU) 现象描述了一小群患者消耗大量医疗保健支出.
- 了解COVID-19大流行期间的HCU动态对于优化医疗保健提供和资源管理至关重要.
研究的目的:
- 调查泰国HCU现象在2016-2021年期间的持续性.
- 在疫情期间识别患者特征,初级诊断和HCU的预测因素.
- 为医疗中心提供有针对性的干预信息,并减少医疗保健系统的负担.
主要方法:
- 泰国国家卫生安全办公室 (全民覆盖计划) 的住院患者电子索赔数据的分析.
- 检查从2016年到2021年的医疗保健支出趋势和患者人口统计数据.
- 应用多项逻辑回归来确定HCU状态的预测因素.
主要成果:
- 在2016-2021年期间,HCU的特征保持一致,老年男性患者,住院时间更长,与低成本用户 (LCU) 相比,年度成本更高.
- 平均HCU年费超过2,860美元,每年停留8天,入院7次.
- 临床医生更年轻,主要是女性,停留时间较短,入院次数较少,费用低于315美元.
结论:
- 尽管有COVID-19流行病限制,HCU现象仍然存在,突出了独特的医疗保健需求.
- 了解HCU趋势和预测因素,可以为未来的健康危机提供更好的资源配置和政策制定.
- 量身定制的干预措施至关重要,以确保HCU获得必要的护理,并减轻医疗保健系统的压力.
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