资源利用和与手部创伤相关的成本:在外科手术全球周期之外的分析
Muhammad Harirah1, Berkay Basagaoglu1, Monal Depani1
1Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX.
The Journal of hand surgery
|August 15, 2025
概括
手部受伤往往需要在全球手术期之外的护理. 这项研究发现,虽然大多数患者不需要进一步的访问,但那些确实需要的患者会产生成本,这突出了手部创伤护理的资源密集性.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 手部受伤占急诊室访问的很大一部分,其中一些需要专门的手术护理和延长后续治疗.
- 对于严重的手部创伤来说,最佳的功能结果可能需要医疗保健利用超过标准的全球手术期.
- 关于国家范围内的医疗保健利用和全球期之外的手部受伤相关成本的数据有限.
研究的目的:
- 估计手术后90天至1年的严重手部创伤的国家医疗保健利用模式.
- 描述需要全球性月经后护理的患者,并分析相关的医疗保健支付和自付费用.
- 提供关于手部创伤伤害对医疗保健系统和患者的经济影响的见解.
主要方法:
- 使用Merative MarketScan研究数据库 (2019-2022) 进行了基于人口的回顾性分析.
- 该研究的重点是为"治疗强度"的手部创伤接受手术治疗的患者,包括远距离半径骨折固定,曲肌修复和再移植/再血管化.
- 在指数手术后90天至1年内,评估了医疗保健的使用,支付和自付费用.
主要成果:
- 在20141名确诊患者中,6.8%的患者在手术后90天至1年期间使用医疗保健服务.
- 这一时期的平均护理费用总额为934.31美元,平均自付费用为89.89美元.
- 使用利用的患者更有可能是年长的,家庭收入中位数在40,000-60,000美元之间,并且已经接受了远距离半径骨折或再移植的治疗. 与远半径骨折固定相比,曲肌修复与较低的总保险支付有关.
结论:
- 手部创伤伤是资源密集型的,通常需要在全球手术期之外的护理,以获得最佳的功能恢复.
- 这项研究提供了关键的国家对医疗保健利用率和全球期以外手部受伤相关成本的估计.
- 调查结果强调了医疗保健系统和患者的经济负担,强调需要全面的管理策略.
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