使用多重分子面板来诊断老年人尿路感染的情况
Kelly M Hatfield1, Sarah Kabbani1, Isaac See1
1Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia.
JAMA network open
|November 26, 2024
概括
自2016年以来,医疗保险受益人的尿路感染 (UTI) 多重分子检测急剧增加,造成了相当大的成本. 需要进一步的研究来评估其对抗生素使用和患者结果的影响.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 医疗保健服务研究 医疗服务研究
- 传染性疾病 传染性疾病
背景情况:
- 多重分子综合征面板用于尿路感染 (UTI) 诊断缺乏可靠的临床数据用于日常使用.
- 这些测试可能会导致不适当的抗生素处方,这是一个越来越严重的公共卫生问题.
研究的目的:
- 分析医疗保险人口中尿路感染多重检测的利用趋势.
- 评估相关的医疗保健成本,并确定使用这些诊断工具的医疗保健专业人员类型和患者人口统计数据.
主要方法:
- 一个队列研究利用医疗保险和医疗补助服务中心 (CMS) 的行政索赔数据从2016年到2023年.
- 分析包括收费服务医疗保险受益者,重点关注具有初级尿路感染诊断和多重综合征面板测试的索赔.
主要成果:
- 每10,000名受益人的尿道感染多重检测率从2016年的2.4增加到2023年的148.1.
- 测试成本在2023年平均为585美元,是传统尿液培养成本的70倍.
- 泌尿病学和高级实践临床医生是频繁的处方者,随着时间的推移,养老院居民的利用率增加.
结论:
- 在医疗保险受益者中,多重检测尿路感染的使用量大幅增加,导致该计划的成本增加.
- 进一步的研究至关重要,以了解临床效用,对抗微生物药物管理的影响以及患者的益处.
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