口腔内镜肌切除术和内镜亚粘膜切除术的经济影响和利用趋势
Julietta Gervase1, Joria Le1, Marcel Robles2
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Gastrointestinal endoscopy
|November 3, 2025
概括
内镜下粘膜切割 (ESD) 和口腔内镜肌切割 (POEM) 程序产生了远远超过直接补偿的重要收入. 这些微创治疗方法为医疗保健系统带来了相当大的下游财务利益.
科学领域:
- 胃肠病学 胃肠病学
- 卫生经济学 卫生经济学
- 最少侵入性的手术
背景情况:
- 内镜下粘膜剖析 (ESD) 和口腔内镜肌切除术 (POEM) 是治疗胃肠道疾病的先进内镜手术.
- ESD和POEM的财务影响,包括退款和下游收入,没有得到充分的证据.
研究的目的:
- 分析ESD和POEM手术在美国高等保健中心的财务影响.
- 评估这些微创疗法的收入来源和补偿趋势.
主要方法:
- 在2018年至2024年期间,对825名接受ESD或食道POEM的患者进行了回顾性分析.
- 检查人口统计数据,医生/医院费用和退款,包括新患者收入.
主要成果:
- 在ESD和POEM方面,收费为7350万美元,退款为1570万美元.
- 接受这些手术的新患者占2850万美元的费用和580万美元的退款,突出显著的下游收入.
结论:
- 尽管潜在的补偿不足,但ESD和POEM通过下游服务显示出相当大的经济价值.
- 为医院管理不断上升的成本和报销挑战,平衡可访问护理与财务可持续性至关重要.
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