对儿童气管切除术远程家庭监测计划 (PTRHMP) 的经济研究,与气管切除术儿童长期住院相比
1Departments of Clinical Sciences and Pediatrics University of Central Florida College of Medicine, Nemours Children's Hospital Orlando Florida USA.
Laryngoscope investigative otolaryngology
|June 19, 2025
概括
儿科气管切除术远程家庭监测计划 (PTRHMP) 为家庭护理提供了技术和经济可行的解决方案. 这项计划的成本是住院护理的十分之一,改善了患者的过渡.
科学领域:
- 儿科医疗保健创新的创新
- 生物医学工程 生物医学工程
- 医疗服务研究 医疗服务研究
背景情况:
- 家庭保健护理对于小儿气管切除术患者在家中过渡至关重要.
- 有限的护理资源对有效的家庭护理构成障碍.
- 远程医疗提供了一个潜在的解决方案,以支持家庭在这个过渡时期.
研究的目的:
- 为了将儿科气管切除术患者的观察到的医院费用与远程家庭监测计划的建模估计进行比较.
- 评估小儿气管切除术远程家庭监测计划 (PTRHMP) 的财务可行性和潜在好处.
主要方法:
- 对儿科气管切除术患者住院护理成本分析的回顾性图表审查.
- 为PTRHMP的建模成本估计制定财务预案.
- 护理成本队列和PTRHMP的形式分析之间的比较分析.
- 对可能可避免的不良事件的分析.
主要成果:
- 儿科气管切除术患者的平均逗留时间 (LOS) 超过了目标31.6天.
- 住院费用平均为17,000美元/天 (发票) 和3,000美元/天 (收到),明显高于PTRHMP.
- 据估计,PTRHMP的每天患者费用为285美元,约为住院护理费用的十分之一.
结论:
- 在技术和财务上,PTRHMP的广泛采用是可行的.
- PTRHMP为长期住院护理提供了一个具有成本效益的替代方案.
- 需要进一步的实施研究来评估安全性并确定潜在的患者亚组,例如在气管切除术放置时2岁以下的患者.
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