在重症监护病房治疗慢性阻塞性肺病急性恶化的护理费用分析
Haizhou Mao1, Zhi Chen2, Wei Li2
1Zhejiang Industry & Trade Vocational College, Wenzhou, China.
慢性阻塞性肺病 (AECOPD) 急性恶化重症监护室 (ICU) 患者的护理费用超过了费用,恢复率中等. 与诊断相关的小组 (DRG) 支付并不完全反映这些护理成本变化.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 护理管理 护理管理
- 呼吸系统医学 呼吸系统医学
背景情况:
- 对于慢性阻塞性肺病 (AECOPD) 的急性恶化,重症监护室 (ICU) 的护理费用需要详细分析.
- 了解成本决定因素对于重症监护的财务可持续性至关重要.
研究的目的:
- 为了确定ICU患者AECOPD的护理费用.
- 评估护理费用和诊断相关群体 (DRG) 支付之间的相关性.
- 确定影响AECOPD患者护理费用的关键因素.
主要方法:
- 进行了前性,描述性和定量性研究.
- 基于时间驱动的基于活动的成本计算用于计算ICU AECOPD患者的护理费用.
- 非参数测试,斯皮尔曼等级相关性和量子力回归分析了成本决定因素和DRG相关性.
主要成果:
- 护理费用中位数为1001.88美元,护理费用中位数为678.51美元,平均成本回收率为68.39%.
- 护理费用与DRG相对权重有相关性,但与DRG支付没有直接相关性.
- 住院时间,氧气治疗模式和非侵入性呼吸机使用日均对护理费用产生重大影响.
结论:
- 在ICU的AECOPD患者的护理费用超过了当前的费用,这表明成本回收率中等.
- 医疗保健支付系统可能无法充分捕捉护理成本的变化.
- 加强报销系统和管理成本决定因素对于ICU的财务健康至关重要.
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