疾病特异性护理认证对关节置换手术医疗总费用的影响
Yen-Liang Lai1, Liang-Hsi Kung1,2, Chih-Ming Kung3
1Tainan Municipal Hospital (Managed by Show Chwan Medical Care Corporation), Tainan City 701, Taiwan.
Healthcare (Basel, Switzerland)
|September 27, 2025
概括
台湾关节置换的疾病特异性护理认证 (DSCC) 并没有显著增加总医疗费用. 认证后,康复和外科手术的成本上升,但效率的提升被注意到.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健经济学 医疗经济学
- 整形外科手术的结果
背景情况:
- 台湾的医疗保健系统使用Tw-DRG分类进行手术.
- 疾病特异性护理认证 (DSCC) 旨在标准化护理质量.
- 评估DSCC对关节置换手术的经济影响对于资源管理至关重要.
研究的目的:
- 评估疾病特异性护理认证 (DSCC) 对关节置换手术的总医疗费用的影响.
- 确定受DSCC实施影响的特定成本组件.
- 分析资源利用的变化和患者在认证后的结果.
主要方法:
- 从一个地区医院对660例关节置换病例 (全膝盖,全关节,单关节) 的回顾性分析.
- 在DSCC前24个月和DSCC后17个月的住院患者数据的比较.
- 统计分析不同DRG (诊断相关组) 分类的总医疗费用和特定费用类别.
主要成果:
- 总医疗费用在DSCC后略有增加,但不具有统计学意义.
- 康复,手术和麻醉费用显著增加,这表明投资于标准化护理.
- 降低了输血和特殊材料成本,并显著减少了长时间住院 (≥11天).
结论:
- 在关节置换手术中实施DSCC可能会改善资源配置和临床标准化.
- 总体而言,DSCC的医疗支出并没有大幅增加.
- 调查结果为优化医院管理和政策提供了洞察力.
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