基于时间驱动的活动成本在瘤学中的应用:系统性审查
Sara-Lise Busschaert1, Amber Werbrouck2, Mark De Ridder3
1Department of Public Health, Research Centre on Digital Medicine (REDM), Vrije Universiteit Brussel, Brussels, Belgium; Department of Radiotherapy, Research Centre on Digital Medicine (REDM), University Hospital Brussels, Brussels, Belgium.
概括
基于时间驱动的基于活动的成本 (TD-ABC) 在瘤学中越来越多地用于分析医疗保健成本. 然而,研究往往缺乏方法论的严谨性和一致的应用,这影响了成本控制和价值提升方面的研究结果的可靠性.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 在瘤学瘤学.
背景情况:
- 基于时间驱动的基于活动的成本计算 (TD-ABC) 为瘤学中的成本控制和价值提升提供了潜力.
- 在瘤学中,TD-ABC的应用和方法的坚持并没有得到充分的证据.
研究的目的:
- 记录TD-ABC在瘤学中的应用,确定优势和局限性.
- 评估遵守已建立的方法 (卡普兰和波特的方法).
- 评估现有的TD-ABC瘤学研究的质量.
主要方法:
- 按照PRISMA指南进行系统审查.
- 包括在瘤学中的经验TD-ABC应用的研究.
- 提取有关癌症类型,视角和环境的数据;使用共识检查清单进行质量评估.
主要成果:
- 59项研究符合标准,最近的出版物数量有所增加.
- 大多数研究都集中在常见的癌症上,从提供者的角度来看,并使用单一机构的数据.
- 观察到对七步方法的遵守程度低,研究质量平均低 (52%),特别是在方法和结果部分.
结论:
- 瘤学是TD-ABC的一个增长领域,证明了其在捕获设备集成护理成本方面的实用性.
- 低质量的研究和不一致的方法引发了人们对TD-ABC在瘤学发现的可靠性的担忧.
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