经济负担和医院住院费用的决定因素,在患者进行半体修复:一个定量回归分析
Xiaoli Liu1, Qiuyue Ma1, Yingmo Shen2
1Department of Hernia and Abdominal Wall Surgery, Beijing Chaoyang Hospital, Capital Medical University, Number 5 Jingyuan Road, Shijingshan District, Beijing, 100043, China.
Hernia : the journal of hernias and abdominal wall surgery
|October 9, 2025
概括
准体 (PSH) 修复的住院费用受到网状使用,手术方法和并发症等因素的影响. 了解这些成本驱动因素对于有效的医疗管理和政策制定至关重要.
科学领域:
- 一般外科 整体外科
- 卫生经济学 卫生经济学
- 医疗信息学 医疗信息学
背景情况:
- 帕拉斯托马尔 (PSH) 修复带来了大量的医疗费用,但驱动这些费用的具体因素尚未完全理解.
- 传统的成本分析往往侧重于平均值,可能会忽视不同患者成本水平的差异.
- 量子回归提供了一个更细致的方法来识别成本分布的不同点上的成本决定因素.
研究的目的:
- 确定与半体修复相关的住院费用的关键预测因素.
- 使用量子回归来分析整个住院费用范围内的成本决定因素.
- 为改善临床和政策决策提供有关PSH修复经济方面的见解.
主要方法:
- 在2012年至2024年期间,北京朝阳医院对1113名接受PSH修复的患者进行了回顾性分析.
- 收集人口统计,临床,程序和住院费用数据.
- 应用量子回归来检查医院住院费用第10至90百分位的成本预测因素.
主要成果:
- 网格使用,腹腔镜手术和并发手术是所有成本量级的显著成本驱动因素.
- 住宿时间的延长和伴随疾病的增加始终与更高的成本有关.
- 呼吸机使用和4级手术也显示出与特定量级的成本增加有显著的关联.
结论:
- 对于PSH修复的住院费用受到临床复杂性,手术方法和资源强度的重大影响.
- 诸如网状植入,手术方法和患者的并发症等因素在确定总体成本方面发挥着关键作用.
- 将经济考虑纳入临床决策和医疗保健政策中,对于管理PSH修复支出至关重要.
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