透析接入的价格:接入类型和以患者为中心的方法对成本的影响

相关实验视频

Updated: Jun 8, 2025

06:27

A Retrograde Implantation Approach for Peritoneal Dialysis Catheter Placement in Mice

Published on: July 20, 2022

2.5K

Nathan Sim^1,2, Hanzhou Li¹, John T Moon¹

¹Department of Radiology and Imaging Sciences, Division of Interventional Radiology and Image-Guided Medicine, Emory School of Medicine, Atlanta, GA, USA.

The journal of vascular access

|November 8, 2024

概括

透析接入创建的自付费用和提供者补偿因程序,保险和地点而异. 通过皮肤创建AVF承担了最高的成本和补偿,突出了新透析技术的财务障碍.

科学领域:

腎臟病學 (nephrology) 是一種醫學專業.
卫生经济学卫生经济学
医疗器械技术医疗器械技术

背景情况:

创建透析接入对于末期脏疾病管理至关重要.
了解对患者和提供者的财务影响对于明智的决策至关重要.
存在各种透析接入方式,每个都有独特的成本配置文件.

研究的目的:

分析四种透析接入方式的患者和提供者退款的自费 (OOP) 费用.
为了比较动脉静脉囊 (AVF),动脉静脉移植 (AVG),腹腔透析导管 (PDC) 和皮肤穿动脉囊 (pAVF) 的财务特征.
为临床医生,患者和支付人提供透析接入选择的财务考虑的信息.

主要方法:

对MerativeTM MarketScan商业索赔和遭遇数据库 (2017-2022) 的回顾性分析.
包括接受AVF,AVG,PDC或pAVF创建的患者.
统计分析 (ANOVA,Tukey HSD) 来比较各种方式,保险类型和服务站点的成本.

主要成果:

总共分析了20863个程序.
根据程序类型,保险和服务地点观察到OOP成本和报销的显著差异.
透皮AVF (pAVF) 显示了最高的整体成本和补偿.

结论:

患者的OOP成本和透析接入创建的提供商补偿受到程序,保险和服务地点的重大影响.
对pAVF的高成本和补偿反映了其复杂性和先进技术.
建议减少OOP的财务障碍,以促进患者采用新的,更复杂的透析接入技术,如pAVF.

关键词:

一个 AV 管.透析是通过透析进行的.透析服务提供者透析服务提供者经济学和卫生服务.腹腔内接入腹腔内接入假肢移植假肢移植假肢移植

相关概念视频

01:27

Dialysis

269

Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...

269

01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

102

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...

102

01:15

Methods of Documentation VI: Case Management Model

559

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...

559

01:17

Factors Affecting Renal Clearance: Renal Impairment

Renal dysfunction significantly impairs the renal clearance of drugs, leading to potential complications in drug therapy. Renal failure, which can be caused by various factors, poses a significant challenge in the elimination of drugs from the body.
One condition associated with renal failure is uremia. Uremia is characterized by impaired glomerular filtration and fluid accumulation in the body. This condition hinders the renal clearance of drugs, resulting in drug accumulation and potential...

01:29

Issues And Trends In Healthcare Delivery System

5.6K

The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...