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Updated: Sep 18, 2025

Diagonal Method to Measure Synergy Among Any Number of Drugs
Published on: June 21, 2018
经济评估住院治疗药物调和与减去策略的经济评估
Nontakorn Khomsanoi1, Theetad Chombandit2, Jurinporn Wiwatmanaskul1
1Inpatient Pharmacist Unit, Department of Pharmacy, Suranaree University of Technology Hospital, Nakhon Ratchasima, Thailand.
药物协调 (MR) 与减去节省了泰国医院的成本,但没有消除补偿赤字. 需要进一步的金融改革,尽管MR显示出基于价值的护理的希望.
科学领域:
- 卫生经济学 卫生经济学
- 医院管理局 医院管理局
- 临床药房实践 临床药房实践
背景情况:
- 泰国大学医院因公共卫生计划 (UCS,SSS,CSMBS) 的低偿还率而面临财务压力.
- 诊断相关组 (DRG) 系统虽然是标准的,但导致三级医院的资金不足.
- 使用减去策略实现了药物调和 (MR),以管理医院资源.
研究的目的:
- 为了评估MR产生的成本节约与减去.
- 确定影响不同公共保险计划中MR经济结果的因素.
- 评估MR对医院财务利的影响.
主要方法:
- 对563名内科病人的回顾性队列研究.
- 324名患者接受了减去的MR.
- 从提供者的角度计算的成本节约和退款利率,按保险计划和停留时间分层 (LOS).
- 一般化线性混合模型用于分析与成本节约相关的因素.
主要成果:
- 每位患者的平均成本节约因方案而异:SSS (508.5 THB) >UCS >CSMBS (133.5 THB).
- 长时间的LOS (>21天) 显著增加了储蓄 (IRR=2.45,p<0.001).
- 在SSS患者中,整体节省率最高 (IRR=3.95,p<0.001).
- 尽管节省了资金,但在所有计划中仍然存在负偿还利.
结论:
- 减去的MR产生了可衡量的成本节约,但没有解决潜在的偿还赤字.
- 更广泛的金融改革对于医院的财务可持续性至关重要.
- 在基于价值的护理模式中,MR是一种潜在的可扩展策略.
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