什么驱动了牛皮护理的患者成本变化:一个单一中心研究
Erin Roman1,2, Filip Roodhooft3,4, Jo Lambert5
1Faculty of Business Economics, Hasselt University, Martelarenlaan 42, Hasselt, Belgium. erin.roman@outlook.com.
BMC health services research
|October 10, 2025
概括
牛皮治疗费用有很大差异,新患者的费用更高. 了解这些成本是提高医疗保健效率和患者在治疗慢性皮肤疾病中的透明度的关键.
科学领域:
- 皮肤病学和健康经济学
- 医疗保健管理和政策
背景情况:
- 牛皮是一种慢性炎症性皮肤疾病,对全球医疗保健系统造成重大经济负担.
- 本研究侧重于提供者对牛皮咨询的观点,以生成基于价值的护理成本数据.
- 它旨在确定成本变化驱动因素,探索效率机会,并估计年度治疗费用.
研究的目的:
- 分析牛皮护理咨询级别的成本驱动因素.
- 为了估计牛皮患者一年的治疗费用.
- 为开发捆绑支付模式提供信息,并促进成本透明度.
主要方法:
- 基于活动的时间驱动成本计算 (TD-ABC) 用于衡量127名轻度至中度牛皮患者的成本.
- 数据包括护士和医生的时间,患者状态,治疗类型和并发症.
- 用描述性分析来评估平均成本和可变性.
主要成果:
- 平均咨询费用为55欧元,新患者的费用比回来的患者高出40%.
- 关键的成本驱动因素包括患者状况,治疗转换,护士经验和医生咨询因素.
- 每年治疗费用从325欧元的局部药物到11,920欧元的生物药物.
结论:
- 在牛皮咨询和年度治疗费用方面存在很大差异.
- 详细的成本数据对于优化工作流程,资源配置和设计支付模型至关重要.
- 提高成本透明度可以提高慢性疾病管理的临床和财务决策.
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