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韩国灵活的囊镜手术的多中心微成本分析

Uiemo Je¹, Woong Kyu Han², Hee-Kyo Jeong¹

¹Department of Medical Device Engineering and Management, Yonsei University College of Medicine, Seoul, Korea.

Investigative and clinical urology

|January 10, 2025

概括

这项研究表明,韩国医院的囊镜手术的直接成本超过了目前的补偿率,导致了财务损失. 重新评估这些费用对于公平的补偿和最佳的患者护理至关重要.

科学领域:

卫生经济学卫生经济学
医疗程序成本分析医疗程序成本分析
医疗保健补偿医疗保健补偿

背景情况:

囊镜手术是常见的泌尿器科干预措施.
准确的成本数据对于有效的医疗保健管理和政策至关重要.
以前的成本分析可能不反映当前的直接支出.

研究的目的:

对韩国医院的囊镜手术的直接成本进行微成本经济评估.
确定囊镜和JJ支架移除的主要成本驱动因素.
将确定的成本与国家医疗保险服务 (NHIS) 设定的当前报销率进行比较.

主要方法:

微成本计价方法用于详细的成本分析.
通过文献审查,现有研究数据和专家咨询收集数据.
分析了两个韩国医院的囊镜和JJ支架切除手术的直接成本.

主要成果:

平均直接费用为100.8美元的囊镜和110.6美元的JJ支架移除在江南重症医院 (GSH).
在国家医疗保险服务伊尔桑医院 (NHIMC) 进行囊镜检查的平均直接成本为119.2美元,在国家医疗保险服务伊尔桑医院进行JJ支架切除的平均直接成本为125.3美元.
关键的成本组成部分包括再加工和设备;这两家医院都承受了财务损失,因为NHIS补偿仅覆盖了实际成本的60-72%.

结论:

囊镜手术的实际直接成本与由医疗保险审查和评估服务 (HIRA) 确定的报销率之间存在很大的差距.
目前这些程序的报销费似乎被低估了.
建议重新评估退款率,以确保医疗保健提供者的财务可持续性,并保持高质量的患者护理.

关键词:

成本分析成本分析囊镜 (Cystoscope) 是一种用于检查囊的仪器.囊镜检查囊镜检查囊镜检查内镜内镜是指内镜.内镜检查是指内镜检查.

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