价格透明度与患者决定完成门诊成像成像之间的关联
Ali Rashidi1, Thao Pham2, Aldo Arce2
1Department of Radiological Sciences, University of California Irvine, Irvine, CA, USA; Department of Radiology and Imaging Sciences, Emory University School of Medicine, Atlanta, GA, USA.
医院价格估计工具可以提高成像预约完成率,特别是当工作人员生成时. 然而,自我生成的估计,通常由自付患者使用,与较低的完成率有关,影响了护理准入.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 患者获得护理的机会
背景情况:
- 医疗保健价格透明度对患者决策的影响仍未得到充分探索.
- 了解患者对成本估计工具的使用情况对于改善对推护理的坚持至关重要.
研究的目的:
- 评估医院价格估计工具用于门诊成像的使用情况.
- 确定使用这些工具与完成预定成像预约之间的关联.
主要方法:
- 成年患者进行门诊放射学检查的回顾性,横截面研究.
- 对自付费用 (OOPC) 数据的分析估计生成,查看和预约完成.
- 多变量回归模型评估了价格估计器使用与成像完成之间的联系.
主要成果:
- 在470,422次成像测试中,15.0%的成像测试中产生了OOPC估计,主要是由工作人员生成的.
- 与工作人员 (8.9%) 相比,自付患者更有可能产生自己的估计 (55.8%).
- 工作人员生成的估计与更高的成像完成率相关 (OR 1.91),而自我生成的估计与更低的完成率相关 (OR 0.29).
结论:
- 使用员工生成的成本估计的患者显示,完成成像预约的可能性增加.
- 自行生成的估计,在自付患者中更为常见,与成像完成的可能性降低相关,可能会阻碍护理获得.
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