手术后并发症的财务成本:一项前性队列研究,与链接的卫生系统数据相连
Sarah-Louise Watson1, Alexander J Fowler2, Rupert M Pearse2
1Barts and the London School of Medicine and Dentistry.
British journal of anaesthesia
|August 9, 2025
概括
手术后并发症显著增加了医疗保健成本,成本大约增加了200%. 大多数手术都会导致财务损失,不管发生什么并发症,这凸显了手术护理的系统经济挑战.
科学领域:
- 医疗保健经济学 医疗经济学
- 手术结果研究研究.
- 医疗服务管理 医疗服务管理
背景情况:
- 在英国国家卫生服务 (NHS) 中,每年都会发生数百万次手术手术.
- 术后并发症影响五分之一的患者,导致长时间住院和额外的治疗.
- 这些并发症的经济影响仍未得到充分理解.
研究的目的:
- 分析英格兰NHS内手术后并发症的经济成本.
- 根据结果支付 (PbR) 融资模式评估手术手术的利损失平衡,考虑并发症成本.
主要方法:
- 国际外科结果分析 研究数据与NHS英格兰医院情节统计相关.
- 专注于根据结果支付 (PbR) 融资机制.
- 通过将PbR收入与手术费用进行比较,考虑停留时间和并发症率,计算术后并发症成本和利损失.
主要成果:
- 在5167名分析患者中,有16.4%的患者经历了术后并发症.
- 患有并发症的患者平均停留时间为7天,而没有并发症的患者平均停留时间为2天.
- 患有并发症的患者的平均入院费用为3100英,而没有并发症的患者的平均入院费用为1038英. 大多数手术都造成损失,平均为930英没有并发症和850英有并发症.
结论:
- 术后并发症增加了大约200%的外科手术费用.
- 手术费用经常超过收入,无论是否出现并发症.
- 调查结果表明,在目前的手术资金和并发症管理框架内,存在重大经济挑战.
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