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在营养不良的门诊患者的口服营养补充剂多模式营养计划期间,医疗保健资源利用情况
Isabel Cornejo-Pareja1,2,3, Kirk W Kerr4, Maria Ramirez5
1Department of Endocrinology and Nutrition, Virgen de la Victoria Hospital, 29010 Malaga, Spain.
Nutrients
|September 13, 2025
概括
口服营养补充剂 (ONS) 在营养不良患者中显著减少了医疗保健利用率和成本的一半. 与标准的ONS相比,用β-基β-甲基酸盐 (HMB-ONS) 丰富的专用ONS显示出更大的成本降低和更好的癌症治疗结果.
科学领域:
- 卫生经济学 卫生经济学
- 临床营养学 临床营养学
- 老年病的医生 老年病的医生
背景情况:
- 营养不良和营养不良的风险在成年患者中很普遍.
- 营养状况不佳与医疗保健资源利用率和成本的增加有关.
- 多模式营养护理计划旨在改善患者的治疗结果.
研究的目的:
- 为了比较医疗保健利用率和成本结果之前和之后的营养保健干预涉及口服营养补充剂 (ONS).
- 为了确定营养干预与专业或标准的ONS减少医疗保健资源的使用和降低成本.
- 检查ONS对癌症患者瘤治疗结果的影响.
主要方法:
- 对营养不良或有风险的成年患者的回顾性分析.
- 医疗保健利用情况的比较 (住院,急救诊所,诊所) 在干预前后12个月内.
- 干预包括饮食,运动和每日消费的专业ONS (HMB-ONS) 或标准ONS (S-ONS).
主要成果:
- 使用ONS与住院住院,急救诊所,全科医生和专科诊所的显著减少有关 (p < 0.001).
- 医疗保健总体费用减少了一半 (27,024.80欧元至13,349.60欧元,p < 0.001).
- 与S-ONS相比,HMB-ONS显示了更大的成本降低和更好的癌症治疗坚持.
结论:
- 包括ONS在内的多模式营养计划改善了与疾病相关的营养不良患者的健康经济结果.
- 公共卫生服务机构的干预导致医疗保健资源使用减少,医疗保健成本降低.
- 专门的HMB-ONS在健康结果和成本效益方面比标准的ONS提供了优势.
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