在全关节整形手术前后一年的医疗保健利用率和成本
Elizabeth A Abe1, Nihir Parikh1, Daniel A Nemirov1
1Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, Pennsylvania
The Journal of arthroplasty
|July 2, 2025
概括
整部关节整形术 (THA) 与非手术治疗相比,在手术后的一年内显著降低了医疗保健成本. 这一发现突出了THA.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 基于价值的护理是基于价值的护理.
背景情况:
- 基于价值的护理模式强调在全关节整形术 (THA) 中降低成本.
- 关于非手术治疗与THA的纵向成本的研究有限.
- 了解THA对长期支出的影响对于医疗保健政策至关重要.
研究的目的:
- 为了确定THA患者在手术前一年和手术后一年的医疗费用.
- 评估THA的成本效益作为一个纵向支出管理策略.
主要方法:
- 基于保险索赔的12240名初级THA患者 (2020-2023) 的分析.
- 术前成本的分层:办公室访问,皮质类固醇注射,物理治疗 (PT),诊断成像.
- 一年术后费用的计算:办公室访问,PT,成像,紧急访问,脱位,修改THA.
主要成果:
- 在THA前接受非手术治疗 (皮质类固醇注射,PT) 的患者承担了更高的成本.
- 无论主要的保险支付人是谁,这些成本都会上升.
- 在THA后,患者体验到医疗保健索赔成本的显著降低.
结论:
- 整体关节整形术 (THA) 在一年内,与之前的非手术治疗相比,至少减少了250美元的索赔费用.
- THA证明了成本效益,支持其在骨关节炎管理的基于价值的护理模式中考虑.
- 决策者应该认识到THA对长期关节炎治疗策略的财务益处.
相关概念视频
Peripheral Artery Disease V: Postoperative Nursing Management
28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28
Traditional Level Of Health Care System
2.9K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.9K
Issues And Trends In Healthcare Delivery System
5.9K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.9K


