在实施基于血红蛋白和贫血症状的决策协议后,输血的成本降低:前后分析
Piotr F Czempik1, Jan Herzyk1, Dawid Wilczek1
1Department of Anesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland.
概括
实施红细胞 (RBC) 输血方案显著降低了56.4%的成本. 这突显了通过改进输血实践在血液制品管理中节省成本的潜力.
科学领域:
- 医疗保健管理的管理
- 输血医学 输血医学
- 卫生经济学 卫生经济学
背景情况:
- 血液制品,特别是红细胞 (RBC),代表了大量的医疗保健费用.
- 评估红细胞输血的财务影响对于资源优化至关重要.
- 了解红细胞输血程序的总成本对于医疗保健系统至关重要.
研究的目的:
- 为了评估红细胞 (RBC) 输血在实施双因素决策协议之前和之后的成本.
- 为了确定当地的医疗保健系统内的红细胞输血程序的当前成本.
主要方法:
- 对议定书实施前后六个月的比较分析.
- 包括成本组件:红细胞,实验室测试,医护人员劳动力和输血反应管理.
- 分析的重点是低输血率设置.
主要成果:
- 在协议实施后,成本减少了51,411欧元 (56.4%).
- 不适当的红细胞输血造成了相当大的成本 (25,0146欧元,占输血总成本的62.9%).
- 白血红细胞输血的费用从大约109欧元增加到126.6欧元.
结论:
- 一个双因素的红细胞输血决策协议可以在低输血设置中实现两倍以上的输血成本降低.
- 持续的临床医生教育是必要的,以进一步降低与不适当的输血相关的成本.
- 非红细胞采购成本大约是输血程序中的血液成分成本.
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