在住院和门诊机构测量护理护理的计费模型:一个范围审查
Marco Di Nitto1, Francesca Napolitano1,2, Michela Calzolari1
1Department of Health Sciences, University of Genoa, Via A. Pastore 1, Genoa, 16132, Italy.
BMC health services research
|January 17, 2025
概括
医疗保健计费模型需要纳入护理费用. 护士人员和患者复杂性等因素会影响成本,影响整体医疗保健费用和患者的治疗结果. 综合模型对于准确的成本评估至关重要.
科学领域:
- 医疗保健管理的管理
- 护理经济学 护理经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 医疗保健成本上升是一个全球性问题.
- 目前的诊断相关小组 (DRG) 系统并没有完全考虑护理费用.
- 对结合护理活动和相关成本因素的计费模式缺乏清晰度.
研究的目的:
- 确定影响医疗保健服务成本的与护理相关的因素.
- 探索考虑护理活动的现有计费模型.
- 为开发综合护理包括成本的计费模型提供信息.
主要方法:
- 一个全面的范围审查文献发表于2000年1月至2023年9月.
- 搜索了包括PubMed,CINAHL,Web of Science,Scopus和ProQuest在内的主要数据库.
- 包括英语,意大利语和西班牙语的研究,咨询政府和国际卫生组织网站.
主要成果:
- 确定了影响护理成本的三个关键类别:组织因素 (例如,护士与患者的比例),护理因素 (例如,技能组合,干预措施) 和患者因素 (例如,复杂性,结果).
- 现有的计费模型包含了这些已识别的类别中的一个或多个.
- 组织和护理因素的有效管理可以提高医疗保健成本,护理实践和患者的结果.
结论:
- 护理服务涵盖了对全面的计费模式至关重要的多方面的方面.
- 需要对当前模型进行进一步的验证.
- 建议设立一个专门的委员会或工作组,以开发和实施一个强大的计费模式,以指导政策.
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