基于活动的融资模式下的家庭肠外营养 - - 澳大利亚的一项成本研究
Sharon Carey1,2,3, Rena H M Cao4, Dayna Moore1
1Faculty of Medicine and Health, Central Clinical School, The University of Sydney, Sydney, New South Wales, Australia.
概括
更好地了解管理家庭亲肠道营养 (HPN) 费用. 目前的资金模式涵盖了HPN门诊和家庭护理费用,这可能是由于标准化的营养解决方案. 建议进行进一步的研究.
科学领域:
- 卫生经济学 卫生经济学
- 临床营养学 临床营养学
- 医疗保健管理的管理
背景情况:
- 对于在门诊环境中管理需要家庭亲肠道营养 (HPN) 的患者的财务影响的理解有限.
- 量化这些成本对于有效的医疗保健资源分配和政策制定至关重要.
研究的目的:
- 量化与管理HPN患者相关的医疗保健成本,无论是在家中还是门诊.
- 将这些成本与现有的基于活动的融资模式进行比较.
主要方法:
- 在澳大利亚悉尼的一家四级医院进行了为期12个月的回顾性研究.
- 分析了28名HPN患者的成本数据,将家庭和门诊费用与资金补偿费用进行比较.
- 数据来源于电子医疗记录和医院财务报告.
主要成果:
- 在HPN的个人参加了4次门诊预约的中位数,每个费用为294.51澳元,低于366.37.37澳元的报销.
- 家庭每月HPN成本中位数为6949.86澳元,相比之下,资金补偿金为7374.64澳元.
- 在本研究中,当前的融资模式充分覆盖了门诊和家庭HPN成本.
结论:
- 现有的医疗保健融资模式似乎足以支付与HPN相关的门诊和家庭费用.
- 使用现成的3合1门营养解决方案可能有助于成本效益.
- 需要进行多中心研究来验证这些发现,并为未来的资金调整提供信息.
相关概念视频
Parentral Nutrition: Centeral and Peripheral Parental Nutrition
74
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
74
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
51
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
51
Enteral Nutrition I: Orogastric and Nasogastric Feeding
157
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
157


