"良性"盆腔疾病与高成本和频繁重叠的症状有关
Joseph Visingardi1, Fortis Gaba2, Shreya Patel1
1Albany Medical College, Albany, NY.
Urology
|October 30, 2025
概括
良性盆腔疾病显著增加了医疗保健成本,随着每次新诊断的增加,费用也在增加. 整体地解决这些疾病可能会减少患者的支出.
科学领域:
- 卫生经济学 卫生经济学
- 盆腔健康 盆腔健康
- 医疗成本分析 医疗成本分析
背景情况:
- 良性盆腔疾病包括一系列的诊断,包括膀,肠道,盆地肌肉,盆腔疼痛和性功能障碍.
- 这些情况往往是慢性,并且可以显著影响患者的生活质量和医疗保健利用率.
研究的目的:
- 使用现实世界保险数据量化良性骨盆疾病与医疗保健成本之间的关联.
- 为了确定是否同时存在的良性骨盆诊断的数量与医疗保健支出增加有关.
主要方法:
- 对4306名会员的12个月保险数据 (2022-2023) 的分析.
- 查询与膀,肠道,骨盆底肌肉,骨盆疼痛和性功能障碍相关的诊断数据.
- 使用二进制物流回归,千平方和差异分析来评估成本关联.
主要成果:
- 16.8%的受保人患有良性盆腔诊断,占总医疗保健开支的35.2%.
- 与没有任何盆腔症状的会员相比,患有任何盆腔症状的会员承担的费用明显更高 (中位数为6690美元) (中位数为1450美元).
- 费用随着平行存在的骨盆症状类数量的增加而增加,从一个类的5806美元到四个类的20,532美元.
结论:
- 对良性盆腔疾病的高医疗利用率表明症状的严重破坏和持续.
- 多种并存诊断的流行表明需要综合,多学科的护理方法.
- 管理良性盆腔疾病的协调方法有可能改善患者的治疗结果,并降低整体医疗保健成本.
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