在私人保险人群中神经关节融合成本和利用率的趋势
Thomas Johnstone1, Ethan Schonfeld1, Sina Sadeghzadeh1
1School of Medicine, Stanford University, Stanford, CA, USA.
Global spine journal
|December 17, 2024
概括
在私人保险患者中,微创性关节融合 (SIJF) 的利用率升超过1100%. 这种增长是由脊椎外科医生和非外科医生越来越多地采用这些先进技术推动的.
科学领域:
- 整形外科手术 整形外科手术
- 脊柱外科手术 脊柱外科手术
- 卫生经济学 卫生经济学
背景情况:
- 圣关节融合 (SIJF) 的最小侵入性 (MI) 技术已经得到了进步.
- 在SIJF利用和相关的医疗保健成本的趋势仍然不完全理解.
- 在大量私人保险患者群体中评估这些趋势对于了解实践模式至关重要.
研究的目的:
- 评估开放式与MI的关节合并 (SIJF) 的利用趋势.
- 分析SIJF程序的相关支付和成本趋势.
- 确定影响采用MI SIJF技术的因素.
主要方法:
- 使用2007-2021年MarketScan数据库进行的回顾性队列研究.
- 包括开放程序和MI SIJF程序的CPT代码.
- 对模型利用,净支付和患者自付费用的回归分析.
主要成果:
- 从2007年到2021年,SIJF的总利用率增加了1176.2%.
- 在所有已识别的SIJF中,MI SIJF程序占39.4%.
- 在研究期间,非外科医生MI SIJF体积显著增加了990.9%.
结论:
- 私人保险患者的SIJF利用率大幅增加.
- SIJF的增长主要归因于MI技术的日益普及.
- 脊椎外科医生和非外科医生都越来越多地进行MI SIJF手术.
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