虚拟与面对面的青光眼诊所的健康经济学:基于时间驱动的基于活动的成本研究
Vishal Shah1, Timothy L Jackson2, Rhiannon Tudor Edwards3
1Ophthalmology, King's College Hospital, London, UK.
BMJ open ophthalmology
|November 29, 2024
概括
虚拟玻璃眼诊所的员工费用与传统的面对面预约相似,支持其用于增加服务能力. 这项研究比较了虚拟与面对面的青光眼护理人员成本.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
背景情况:
- 眼科是国家卫生服务中最大的门诊专业,人员成本是相当大的开支.
- 基于价值的医疗保健 (VBH) 强调了护理过程,推动了服务交付模式的创新.
- 虚拟眼服务是一个创新的转变,远离传统的面对面 (F2F) 咨询.
研究的目的:
- 量化和比较与虚拟和F2F玻璃眼诊所相关的人员成本.
- 应用VBH成本计算方法来分析眼科医疗保健资源利用情况.
- 为了评估虚拟格劳科马服务的经济可行性.
主要方法:
- 过程映射用于在虚拟和F2F玻璃眼诊所详细介绍患者路径.
- 审计了现实世界的时间,以捕捉患者旅程的持续时间.
- 基于时间驱动的基于活动的成本计算用于计算每个患者的人员成本.
主要成果:
- 这项研究分析了24例虚拟和42例F2F光眼患者病例.
- 虚拟光眼病诊所访问的人员费用估计为每名患者25.60英.
- 面对面访问格劳科马诊所的员工成本更高,估计每位患者为31.08英.
结论:
- 发现虚拟和F2F青光眼诊所的员工成本相似,没有统计学上显著的差异 (p=0.14).
- 虚拟玻璃眼诊所显示出增加服务能力的潜力,而不会显著增加人员成本.
- 这项研究的局限性包括单位分析,小样本大小,并排除了绿眼病的严重程度作为一个因素.
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