日本新增急性疼痛服务费用:基于报销索赔数据库的全国性研究
Yuta Nonomiya1,2, Hiroshi Morimatsu3, Kaori Kuriu4
1Department of Medical Statistics, Graduate School of Medicine, Osaka Metropolitan University, 1-4-3 Asahi-Machi, Abeno-Ku, Osaka, 545-8585, Japan. nonomiya.yuta@omu.ac.jp.
Journal of anesthesia
|June 7, 2025
概括
日本急性疼痛服务 (APS) 的补充显示了最小的整体影响,但可能会改善老年患者的结果. 需要进一步的研究来证实这些发现.
科学领域:
- 医疗保健补偿 医疗保健补偿
- 疼痛管理 疼痛管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 有效的术后疼痛管理对于患者的康复至关重要.
- 日本在2022年4月引入了急性疼痛服务 (APS) 费用,以鼓励结构化疼痛服务.
- 了解这种新政策的影响是必不可少的.
研究的目的:
- 描述APS费用补充的当前实施状态.
- 调查APS补充和患者/医院结果之间的关联.
- 评估新的医疗补偿政策的有效性.
主要方法:
- 一个全国性的索赔数据库的回顾性分析.
- 包括接受全身麻醉手术的患者 (2022年4月至2023年6月).
- 使用倾向得分匹配和多变量回归分析.
主要成果:
- 2.48%的手术有APS补充索赔,在食道手术 (11.8%) 中最高.
- 整体住院费用或住院时间没有显著差异.
- 在老年患者 (≥90岁) 中观察到显著的益处,降低了成本和停留时间.
结论:
- 增加APS费用对患者的治疗结果的总体影响很小.
- 年龄分层分析表明,对老年患者有潜在的益处.
- 需要进一步的调查来验证这些探索性发现.
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