一个时间驱动的基于活动的成本分析新膜炎患者的访问
Sean T Berkowitz1, Avni P Finn1, Akshay S Thomas2
1Department of Ophthalmology, Vanderbilt University Medical Center, Nashville, TN, USA.
Journal of vitreoretinal diseases
|November 3, 2025
概括
新型眼膜炎患者诊所的费用超过了医疗保险补偿金,这凸显了复杂的眼科护理方面的财务差距. 这种经济分析揭示了供应商的重大损失,影响了患者护理的可访问性.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
背景情况:
- 尿道炎患者的访问需要大量的医生时间和资源.
- 准确的成本评估对于理解医疗保健经济学至关重要.
研究的目的:
- 通过使用基于时间驱动的基于活动的成本计算,确定新发卵膜炎患者访问的完整成本概况.
- 将这些费用与当前的医疗保险报销率进行比较.
主要方法:
- 分析了一组新的脑膜炎患者的多中心队列.
- 使用了基于时间驱动的基于活动的成本计算,流程映射和EHR时间日志.
- 图像成本,单独计费,被排除在分析之外.
主要成果:
- 每次新发卵膜炎诊所的平均总费用为550.50美元,包括开支.
- 医生的平均时间是访问前36.6分钟,访问期间30.1分钟,访问后31.7分钟.
- 费用超过了医疗保险补偿,造成325.78美元 (CPT 99205) 和380.16美元 (CPT 99204) 的损失.
结论:
- 评估新发卵膜炎患者的实际成本超过了医疗保险的退款.
- 这种财务差异可能会影响专业眼科护理的提供.
- 调查结果支持政策讨论,以使报销与膜炎管理所需的专业知识和时间保持一致.
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