资源利用的纵向趋势与美国新诊断的初级角度闭眼有关
Daniel Guth1, Galo Apolo2, Seth A Seabury3
1Division of Humanities and Social Sciences, California Institute of Technology, Pasadena, CA, USA.
Journal of glaucoma
|July 17, 2025
概括
初级角闭眼光眼 (PACG) 的平均两年成本为2,960美元. 老年人和黑人患者占最高成本病例的很大一部分,推动了支出.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 主要角闭眼光眼 (PACG) 是视力丧失的重要原因.
- 了解新诊断的PACG的经济负担对于资源分配和患者管理至关重要.
研究的目的:
- 评估与美国新诊断的初级角度闭眼光大眼 (PACG) 相关的纵向眼睛护理成本.
- 识别导致高成本PACG案件的风险因素.
主要方法:
- 使用Optum的Clinformatics®数据库 (2009-2017) 来识别新诊断的PACG患者.
- 根据特定的诊断和治疗标准定义新诊断的PACG.
- 采用后勤回归来确定最昂贵的5%案件的风险因素.
主要成果:
- PACG的平均累计两年成本为2,960美元.
- 最昂贵的5%的患者占两年总成本的21.3%.
- 高龄,黑人种族,特定的保险类型,地理位置和解剖学狭窄的角度是高成本的风险因素.
结论:
- 新诊断的PACG的成本不成比例地由一小部分患者驱动.
- 老年人和黑人患者更有可能承担最高的费用.
- 针对高风险人群的有针对性的干预措施可以减少与PACG相关的整体医疗保健支出.
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