住院患者的成本回避和无偿劳动与不同门诊患者的腹腔内抗菌疗法护理模式相关
Jacob K Player1, Sithembiso S Msibi2, Rory Bouzigard3,4
1University of Texas Southwestern Medical School, Dallas, Texas, USA.
Open forum infectious diseases
|May 5, 2025
概括
门诊亲肠道抗菌疗法 (OPAT) 显著降低了医院费用和住院时间. 然而,在门诊机构,特别是熟练护理机构,没有补偿的劳动力是相当大的,在节省计算中经常被忽视.
科学领域:
- 卫生经济学 卫生经济学
- 传染性疾病 传染性疾病
- 医疗保健管理的管理
背景情况:
- 门诊亲肠道抗微生物疗法 (OPAT) 提供了诸如减少住院和成本等好处.
- 对OPAT的门诊设置成本没有得到很好的量化.
- 这项研究分析了三个OPAT模型的住院费用避免和无偿劳动.
研究的目的:
- 量化OPAT避免的住院费用.
- 评估与不同OPAT管理模型相关的无偿劳动.
- 为提供OPAT更准确的财务情况.
主要方法:
- 对342名成年患者OPAT记录的回顾性审查.
- 分析了避免住院的住院日和出院后的非可计费接触.
- 使用平均每日住院护理费用和抗生素采购费用来估计成本.
主要成果:
- 在所有OPAT模型中,避免了8656天的住院治疗.
- 熟练护理机构OPAT (SNF-OPAT) 的非可计费遭遇率最高 (211.1每100个患者日).
- 据估计,每100个患者日的节省费用为376,400美元,或每月约540万美元.
结论:
- 所有的OPAT模型都为机构带来了显著的节约.
- 没有薪酬的劳动,特别是SNF-OPAT,代表了相当大的负担.
- 机构从OPAT节省的费用往往被高估,因为没有补偿的门诊护理人员支持.
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