对远程医疗综合产前护理的成本最小化基于人口的分析
YiJie Neo1, Emily Callander2, Ben W Mol1,3,4
1Department of Obstetrics and Gynaecology, Monash University, Clayton, Australia.
The Lancet regional health. Western Pacific
|November 25, 2024
概括
远程医疗综合产前护理 (ANC) 略有增加了医院费用,但显著降低了患者费用. 这种模型可以安全地支持更复杂的怀孕,为资助者和患者证明经济可行性.
科学领域:
- 孕产妇健康 孕产妇健康
- 卫生经济学 卫生经济学
- 远程医疗远程医疗
背景情况:
- 由于COVID-19大流行,维多利亚州最大的孕产妇服务提供商在产前护理 (ANC) 中整合了远程医疗.
- 该计划自2020年3月以来一直维持,由于医疗保健成本上升,需要进行经济评估.
- 确保远程医疗ANC的价值并指导其持续使用至关重要.
研究的目的:
- 进行远程医疗整合ANC与传统面对面ANC的成本最小化分析.
- 从医院和患者的角度评估成本.
- 为了测试远程医疗ANC比面对面的ANC更便宜的假设.
主要方法:
- 倾向性得分匹配创建了远程医疗前和远程医疗后的队列 (每组n=13,534).
- 从蒙纳什健康的电子医疗和财务记录中提取的数据.
- 费用包括医院 (门诊,住院,ED) 和患者的旅行费用.
主要成果:
- 在远程医疗后的队列中,每次分娩成本最低增加了133澳元,这是由于医院成本上升所致.
- 没有观察到母亲或胎儿不良结果的显著差异.
- 患者获得医疗保健的费用明显下降了207澳元 (36.81%).
结论:
- 远程医疗ANC适应了更复杂的怀孕,同时保持了安全和质量.
- 这导致了医疗资助者的成本增加,但为患者节省了大量资金.
- 这些发现支持了远程医疗综合产前护理的财务可行性.
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