在异构血造干细胞移植后在家庭住院:经济分析
Vinod Mishra1,2, Tobias Gedde-Dahl3,4, Mats Remberger3
1Department of Governance, Oslo University Hospital, P.O. Box 4950 Nydalen, 0424 Oslo, Norway.
Healthcare (Basel, Switzerland)
|July 29, 2025
概括
与住院护理相比,对全源造血干细胞移植 (allo-HSCT) 患者的先进家庭护理显著降低了成本. 这种方法为合适的候选人提供了一个可行的,具有成本效益的替代方案.
科学领域:
- 血液学 血液学 血液学
- 医疗保健管理的管理
- 在瘤学瘤学.
背景情况:
- 先进的家庭护理是癌症患者住院治疗的不断增长的替代方案.
- 医疗保健成本的上升和医疗保健质量的提高推动了转向家庭医疗的转变.
- 全基性造血干细胞移植 (allo-HSCT) 是一种复杂的程序,越来越多地被认为是家庭护理.
研究的目的:
- 为了比较住院治疗 (HaH) 与传统住院护理 (INH) 的费用,用于all-HSCT患者.
- 从医院的角度评估高级家庭护理的经济可行性.
主要方法:
- 用一个案例控制研究设计来比较成本.
- 成本分析主要集中在周周移植期和手术后的第一年.
- 包括在奥斯陆大学医院的再入院和门诊诊所的费用.
主要成果:
- 在周周移植期间的治疗成本可以降低高达33%的HaH.
- 在研究期间,约有24%的alo-HSCT接受者在家接受治疗.
- 数据表明,至少三分之一的 allo-HSCT 候选人适合 HaH.
结论:
- 接受allo-HSCT高级家庭护理的患者的总成本显著降低.
- 在家医院护理为管理alo-HSCT患者提供了一个具有成本效益的策略.
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