佛罗里达州医学院社区基础初级和预防性护理计划中的灾难性手术费用风险:一个建模研究
Gregory W Schneider1, Jamie Fairclough2, Prasad Bhoite1
1Department of Humanities, Health, and Society, Florida International University, Herbert Wertheim College of Medicine, Miami, USA.
Cureus
|November 3, 2025
概括
贫困家庭面临灾难性手术支出 (CSE) 的重大风险,与社会剥夺相关的风险更高. 医疗保险和基于地区的指标,如区域贫困指数 (ADI),可以减轻金融灾难.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 外科手术的结果
背景情况:
- 灾难性外科手术支出 (CSE) 构成了全球性的财务风险.
- 缺乏服务的人群特别容易受到与医疗保健相关的财政困难的影响.
研究的目的:
- 在缺乏服务的美国家庭中,为紧急胆囊切除术建模CSE风险.
- 评估面积剥夺指数 (ADI) 和CSE风险之间的相关性.
主要方法:
- 利用世界卫生组织的CSE风险估计方法.
- 针对不同保险覆盖率的调整分析.
- 评估了区域贫困指数 (ADI) 作为CSE风险的预测指标.
主要成果:
- 根据保险状况和支付负担,CSE风险差异很大 (7.7%~88.92%).
- 区域贫困指数 (ADI) 的得分与增加的CSE风险有显著的相关性.
- 没有保险的家庭具有较高的ADI分数,表现出最大的CSE风险.
结论:
- 服务不足的家庭中有很大比例面临CSE,这凸显了医疗保险扩展的必要性.
- 基于地点的指标,如ADI,可以识别有针对性的干预措施的风险人群.
- 基于社区的建模和ADI是健康政策和计划设计的宝贵工具,以减少外科手术的财务灾难.
相关概念视频
Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Traditional Level Of Health Care System
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Secondary Healthcare System
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...


