一个VA医疗中心的社区护理辐射瘤成本计算
Ronald H Shapiro1, Reid F Thompson2,3, David A Elliott4,5,6
1Richard L. Roudebush Veterans Affairs Medical Center, Indianapolis, Indiana.
概括
退伍军人
科学领域:
- 医疗服务研究
- 癌症学
- 健康经济学
背景情况:
- 退伍军人可以在退伍军人事务部 (VA) 传统医疗中心之外获得专业护理.
- 这种社区护理的费用由原来的VA设施承担.
- 缺乏对这种护理模式的全面财务分析.
研究的目的:
- 在Richard L. Roudebush VAMC (RLRVAMC) 分析放射性瘤社区护理成本.
- 通过社区护理提供退伍军人放射瘤服务的财务概述.
- 确定成本分类的挑战,并建议改进VA实践.
主要方法:
- 对社区护理咨询,授权和标准护理事件 (SEOC) 的分析.
- 检查辐射瘤特异性电荷.
- 从2021年10月1日到2024年2月1日进行财务数据审查.
主要成果:
- RLRVAMC花费了大约270万美元用于社区护理放射性瘤服务.
- 经过调整后,总支出接近290万美元.
- 社区辐射治疗的中位数咨询费用达到了20600美元.
结论:
- 目前的社区放射性瘤学成本计算方法不足.
- 现有的方法低估了总支出,并排除了一些接受放射治疗的患者.
- 在社区中, 终极辐射治疗的中位数成本显著低估.
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