评估不适当订购的甲状腺超声波的总医疗费用
David Toro-Tobon1,2, Viengneesee Thao3, Bijan J Borah3
1Division of Endocrinology, Diabetes, Metabolism, and Nutrition, Mayo Clinic, Rochester, MN 55905, USA.
Journal of the Endocrine Society
|September 22, 2025
概括
不适当使用甲状腺超声波 (TUS),虽然不会增加整体成本,但会导致大量的直接程序支出. 减少低价值成像是医疗成本节省的关键.
科学领域:
- 卫生经济学 卫生经济学
- 医疗成像医学成像
- 内分泌学 在内分泌学.
背景情况:
- 过度使用甲状腺超声波 (TUS) 导致甲状腺癌诊断的增加.
- 预计到2030年,TUS的美国医疗保健成本将大幅增加.
- 评估不适当订购的TUS的成本对于医疗保健管理至关重要.
研究的目的:
- 评估与不适当订购的TUS相关的医疗保健成本.
- 分析不合适的TUS级联流程的直接程序成本.
- 确定医疗成像中成本降低策略的目标.
主要方法:
- 在4个梅奥诊所网站进行的回顾性队列研究的二次成本分析.
- 包括在2017-2021年期间接受首次TUS的成年患者 (≥18岁).
- 使用基于指南的NLP算法将TUS指示分类为适当或不适当.
主要成果:
- 7.8%的患者 (546/6984) 为不适当的适应症接受了TUS.
- 调整后的一年医疗保健费用在不适当的 (13,748美元) 和适当的 (14,257美元) 医疗保健费用之间是可比的.
- 不适当的TUS连锁事件至少造成了576,134美元的直接程序费用.
结论:
- 不适当的TUS代表了可能可以避免的医疗保健支出.
- 减少低价值成像是节约成本干预的关键目标.
- 针对不合适的TUS可以导致医疗保健的成本大幅降低.
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