在一个中等收入较低的州成功实施了患者血液管理计划
Denise Menezes Brunetta1,2,3, Luany Elvira Mesquita Carvalho2,3,4, Nathália Martins Beserra4
1Transfusion Medicine Division, Centro de Hematologia e Hemoterapia do Ceara - HEMOCE, Fortaleza, Ceará, Brazil.
巴西的患者血液管理 (PBM) 实施显著降低了输血率和成本. 这种基于证据的方法优化了患者的治疗结果,并证明了医疗保健的大幅节省,为其他地区提供了一个模型.
科学领域:
- 医疗保健管理的管理
- 输血医学 输血医学
- 公共卫生政策 公共卫生政策
背景情况:
- 输血是常见的,但存在风险,促使人们转向优化其使用.
- 患者血液管理 (PBM) 是一种基于证据的策略,旨在改善患者的治疗结果,减少对输血的依赖.
- 人们对输血风险的认识越来越高,这导致了一些国家的使用率下降.
研究的目的:
- 详细介绍巴西一个州的PBM计划的实施情况.
- 评估PBM对输血率的影响.
- 评估PBM实施所带来的相关成本节约.
主要方法:
- 实施PBM战略,包括医疗教育,专科诊所和药物支持.
- 整合细胞救援,急性正常发血性血液稀释和先进的实验室诊断.
- 通过质量指标和全面的成本效益分析进行评估.
主要成果:
- 血液输血率的显著降低,特别是红细胞 (RBC).
- 质量指标有所改善,单RBC输血增加,血红蛋白水平较高的患者输血减少.
- 估计每年节省的成本在487,000美元至299万美元之间,考虑到直接和基于活动的成本.
结论:
- 塞阿拉州的PBM计划成功降低了输血率和医疗保健支出.
- 多学科的方法,教育和政府的支持是该计划成功的关键.
- 这种模式可以作为PBM在其他地区实施的有价值的基准,特别是在低收入和中等收入国家.
更多相关视频
23:56Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
相关概念视频
Errors occurring during blood pressure monitoring
Several factors...
Pre-Procedural Guidelines for Assessing Blood Pressure
Blood Transfusion
Blood Transfusion Overview
A blood transfusion is a medical procedure used to replace blood lost due to injury, surgery, or to treat conditions such as anemia or cancer. During a transfusion, donor blood is...
Assessing Blood pressure in the Leg
Preparation:
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
