移动紧急护理服务:人员,材料,药品和解决方案的直接成本
Luciana Mota Leonor do Nascimento1, Antônio Fernandes Costa Lima2
1Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Gerenciamento em Enfermagem, São Paulo, SP, Brazil.
Revista da Escola de Enfermagem da U S P
|August 13, 2025
概括
圣保罗移动紧急护理服务 (MECS) 医院前护理的平均直接成本为高级生命支持服务的19.70美元和基本生命支持服务的3.21美元,有助于财务可持续性.
科学领域:
- 紧急医疗 紧急医疗
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
背景情况:
- 医院前紧急护理是医疗保健系统的关键组成部分.
- 了解与移动紧急服务相关的直接成本对于资源配置和财务规划至关重要.
- 圣保罗的移动紧急护理服务 (MECS) 提供了重要的医院前干预.
研究的目的:
- 确定圣保罗MECS提供的人员,材料,药物和医院前护理解决方案的平均直接成本.
- 为了区分高级生命支持 (ALS) 和基本生命支持 (BLS) 团队之间的成本.
- 提供有关MECS.财务可持续性的战略决策的数据.
主要方法:
- 使用追溯吸收方法,采用了自下而上的微投方法.
- 从2022年的380个系统化护理记录中收集了数据.
- 成本是通过将专业时间乘以单位劳动力成本并增加投入成本来计算的.
主要成果:
- 先进生命支持 (ALS) 团队的平均直接费用为10.98美元的人员费用和8.72美元的材料,药物和解决方案费用,总共为每项服务19.70美元.
- 基本生命支持 (BLS) 团队的平均直接成本为护理技术人员1.11美元,材料,药物和解决方案2.10美元,总共为每项服务3.21美元.
结论:
- 移动医院前护理的直接成本可以为战略管理决策提供信息.
- 准确的成本数据对于确保紧急医疗服务的财务和经济可持续性至关重要.
- 本研究为圣保罗的MECS运营提供了一个成本基准.
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