与全剂量腹膜透析相比,增量透析:从澳大利亚第三方付款人的角度进行成本分析
Mary Ann Nicdao1,2,3, Germaine Wong1,2,3, Karine Manera2,3
1Department of Renal Medicine, Westmead Hospital, Western Sydney Local Health District, Sydney, NSW, Australia.
概括
增量腹膜透析 (PD) 提供了患者更多的透析无需时间,并显著降低了医疗保健成本和浪费与全剂量PD相比. 这种方法优化了资源利用和患者在病管理中的结果.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 卫生经济学 卫生经济学
- 医疗保健中的环境可持续性
背景情况:
- 腹腔透析 (PD) 是末期病的关键治疗方法.
- 增量PD处方是根据个体患者的需要和功能残留量身定制的.
- 潜在的好处包括增加无透析时间和节省成本.
研究的目的:
- 量化医疗保健的直接成本和资源利用率,以增加PD与全剂量PD相比.
- 估计通过增量PD节省的无透析时间和透析浪费.
- 从第三方医疗服务支付人的角度评估PD.
主要方法:
- 在24个月内从203名PD患者中收集的前性医院数据的回顾性分析.
- 增量PD与全剂量PD的比较,分析耗材成本,多学科审查,病理学和住院护理.
- 数据来源于澳大利亚一家大型透析服务提供商.
主要成果:
- 与全剂量PD相比,增量PD与平均每月门诊费用节省339美元 (AUD) 相关.
- 显著降低PD耗材成本是造成成本差异的主要驱动因素.
- 增量PD处方导致透析程序时间,水,塑料和纸板废物大幅节省.
结论:
- 增量PD可最大限度地减少透析时间,并与更低的医疗保健成本有关.
- 在增量PD中减少消耗品的使用,大大降低了总体开支和环境浪费.
- 这种方法为PD管理提供了一个具有成本效益和资源效率的策略.
相关概念视频
01:27Dialysis
235
Renal failure occurs when the kidneys lose their ability to filter waste products from the blood effectively. It can be classified into two types: acute renal failure (ARF) and chronic renal failure (CRF).
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
Acute kidney injury develops suddenly and can be caused by pre-renal causes (e.g., hypovolemia, shock), intrinsic renal causes (e.g., acute tubular necrosis), or post-renal causes (e.g., urinary obstruction). In contrast, chronic renal failure progresses gradually over time and is often...
235
01:11Renal Failure: Dose Adjustments
38
In patients with renal impairment, drugs undergo significant changes in their pharmacokinetics, which require dosage adjustments to ensure safe and effective therapy.
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
Reduced renal clearance and elimination rate are common outcomes of renal impairment. These alterations lead to a prolonged elimination half-life and an altered apparent volume of distribution for drugs. As a result, dosage adjustments are typically necessary to maintain optimal drug levels in the body.
However, dosage adjustments...
38
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
62
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,...
62