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确定关节镜旋转手套维修成本:一个多中心,时间驱动的基于活动的成本和成本优化调查
Catherine J Fedorka1, Ana Paula Beck da Silva Etges2, Matthew J Best3
1Department of Orthopaedic Surgery, Cooper University Hospital, Cooper Medical School of Rowan University, Camden, New Jersey.
The Journal of bone and joint surgery. American volume
|March 18, 2025
概括
优化旋转手套修复 (RCR) 成本包括减少手术持续时间的变化和标准化接费用. 这可以节省大量的医疗保健资源,提高效率.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 成本分析 成本分析
背景情况:
- 旋转手套修复 (RCR) 是一种常见的门诊手术,带来了相当大的医疗费用.
- 基于时间驱动的基于活动的成本计算 (TDABC) 为分析医疗保健费用提供了详细的方法.
- 了解RCR中的成本驱动因素对于战略性财务决策至关重要.
研究的目的:
- 将TDABC方法应用于RCR程序.
- 确定优化RCR成本效益的策略.
- 专注于减少情节持续时间的变化和标准化线 anchor成本.
主要方法:
- 一个多中心的,回顾性研究的921个RCR病例在4个美国学术三级卫生系统.
- 使用TDABC方法分析的数据来自前卫健康的护理测量平台.
- 成本分析重点关注了剧情持续时间的变化和接的收购成本.
主要成果:
- 平均发作持续时间成本为4,094美元±1,850美元,在第10和第90百分位之间有三倍的变化.
- 剧情持续时间平均为7.1小时,在急性后护理和病房中花费了大量时间.
- 减少变异性每年可以节省每家医院640个护理小时;标准化接可以在各机构节省217,440美元.
结论:
- RCR成本受到护理途径和线 anchor费用的影响.
- 确定了用于RCR节省成本和运营效率的策略.
- 研究结果为开发RCR的健康经济模型提供了基础.
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