专业烧伤护理的结果和成本:调整质量成本指标 (QCI) 模型用于烧伤护理
Raaba S M Thambithurai1,2, Willem H P van Veghel3, Denise van Uden1
1Alliance of Dutch Burn Care (ADBC), Burn Centre, Maasstad Hospital, Rotterdam, the Netherlands.
PloS one
|October 8, 2025
概括
烧伤护理质量成本指标 (BC-QCI) 模型有效地衡量专业烧伤护理结果和成本. 不符合所有指标的患者承担了显著更高的医疗费用,突出了需要改善烧伤治疗的领域.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 基于价值的医疗保健模式对于优化机构医疗保健服务至关重要.
- 质量成本指标 (QCI) 模型为评估与成本相关的疾病特异性结果提供了一个框架.
- 专门的烧伤护理需要定制的指标来评估其有效性和经济影响.
研究的目的:
- 适应现有的质量成本指标 (QCI) 模型用于专门的烧伤护理,创建BC-QCI模型.
- 用荷兰烧伤中心的现实数据评估BC-QCI模型的利用情况.
- 在成年烧伤患者群体中确定关键结果指标和相关的医疗保健成本.
主要方法:
- 通过多方利益相关者的共识确定了烧伤护理结果指标,并确定了值.
- 一项回顾性队列研究包括1449名在2020年至2023年期间接受治疗的成年烧伤患者,随访期为12个月.
- 计算了实现"教科书结果" (满足所有指标) 的患者比例,平均总成本和BC-QCI值.
主要成果:
- 54%的烧伤患者实现了所有五个定义的结果指标 (停留时间,伤口感染,并发症,出院目的地,预测死亡率).
- 预测死亡率是最成功的指标 (99%的成绩),而逗留时间是最少的 (62%的成绩).
- 没有达到所有指标的患者的平均总费用 (5,0134欧元) 与实现教科书结果 (11,721欧元) 的患者相比大幅增加.
结论:
- 开发的BC-QCI模型提供了一个强大的框架,用于评估机构层面的专业烧伤护理的结果和成本.
- 该模型强调了与未能满足关键烧伤护理结果指标的患者相关的重大成本影响.
- BC-QCI模型可以指导烧伤护理机构的质量改进计划和资源分配.
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