在那些患有危急疾病的人中,财务困难与非医疗自付费用的关联
Vidya S Mahavadi1, David Aaby2, Erin Paquette3
1Division of Critical Care Medicine, Department of Pediatrics, Valley Children's Hospital, Madera, California.
儿科重症监护的经济困难与非医疗自付费用 (NOPE) 有关. 收入中较高的比例用于NOPE,特别是食物,与儿童重症监护病房儿童家庭的财务困境增加有关.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 卫生经济学 卫生经济学
- 家庭支持服务 家庭支持服务
背景情况:
- 经济困难对重症患者的临床结果产生重大影响.
- 非医疗自付费用 (NOPE) 是家庭经济压力的关键来源.
- 在儿科重症监护中,特定的NOPE和感知到的财务困境之间的关系还不清楚.
研究的目的:
- 调查NOPE总体,其组成部分与患有重症儿童的家庭感知到的财务困境之间的关联.
- 量化食品,交通和住房等费用在儿科重症监护室 (PICU) 住院期间对家庭财务福祉的影响.
主要方法:
- 进行了一项横截面调查,调查的对象是入住PICU的儿童的护理人员.
- 感知到的财务困境是使用InCharge财务困境/财务福祉工具来衡量的.
- 顺序后勤回归分析了NOPE (作为每周收入的比例) 和财务困境水平之间的关系.
主要成果:
- 30%的家庭报告了高的财务困难,45%的平均,和25%的低.
- 处于高度困境的家庭在NOPE上平均花费了34.7%的收入,而中等和低困境组分别为12.7%和5.2%.
- 增加的财务困境与收入中花费在NOPE总额 (aOR 1.02) 和具体用于食品 (aOR 1.22) 的比例更高有关.
结论:
- 每周收入分配给NOPE和食品支出总量的比例与在PICU有孩子的家庭感知到的财务困境有显著的关联.
- 旨在减轻NOPE财务负担的干预措施可以有效地减轻这些家庭的财务困境.
- 解决食品成本可能是一个特别有影响力的策略,以减轻儿科重症监护机构的财务压力.
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