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对急诊室住院患者尿液检测的成本分析
A Corey Yeates1, Jennifer A Zimmerman1, Christopher J Destache2
1Division of Infectious Diseases, Department of Medicine, Creighton University School of Medicine, Omaha, Nebraska, USA.
概括
超过一半的在急诊室 (ED) 进行的医院住院尿液分析是不必要的,造成医疗保健系统的重大损失. 实施有针对性的诊断策略可以减少对尿液感染检测的浪费支出.
科学领域:
- 医学诊断 医学诊断 医学诊断
- 卫生经济学 卫生经济学
- 传染病管理 传染病管理
背景情况:
- 尿路感染 (UTI) 经常在急诊室 (ED) 诊断出来.
- 准确的尿路感染诊断依赖于特定的临床表现.
- 不必要的诊断测试导致医疗保健成本上升.
研究的目的:
- 评估通过ED入院的患者在医学上不必要的尿液检测感染率.
- 为了确定不适当的尿检测对经济的影响.
主要方法:
- 在两个1周的时间内,通过ED入院的成年患者的回顾性审查.
- 手动图表审查以根据临床标准验证尿液测试的医疗必要性.
- 计算与不必要的测试相关的直接实验室,人员和抗菌药物成本.
主要成果:
- 在401个入院患者中,212人 (52.87%) 进行了尿液分析.
- 其中133个 (62.74%) 的测试缺乏医疗必要性.
- 预计的年度成本达到8,490.68美元 (直接) 和49,701.01美元 (总).
结论:
- 在ED患者中,尿液感染检测的很大一部分在医学上是不合适的.
- 调查结果强调了不必要的诊断程序的财务负担.
- 数据可以为医院系统和诊断管理计划提供信息,以优化测试和控制医疗保健支出.
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