在学术急救部门的酒精中毒:流行病学和设施费用财务影响
Eric Legome1, William Bonadio1, Michael Redlener1,2
1Icahn School of Medicine at Mount Sinai, Department of Emergency Medicine, New York City, New York.
The western journal of emergency medicine
|November 5, 2025
概括
酒精中毒访问是急救部门 (ED) 资源的重大消耗,耗资数百万美元的费用,最低限度的报销. 解决这些成本对于评估与酒精有关的干预措施的有效性至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 医疗保健 金融 医疗保健 金融
- 公共卫生 公共卫生
背景情况:
- 酒精中毒是城市环境中急诊室 (ED) 访问的常见原因之一.
- 关于在ED治疗酒精中毒患者的财务影响的数据有限.
- 这项研究调查了急性酒精中毒ED访问的财务影响.
研究的目的:
- 分析酒精中毒患者提交ED的设施账单和收费.
- 量化与这些访问相关的财务负担和资源利用.
主要方法:
- 2018年6月至2021年12月期间在两个大型城市EDS进行ED访问的回顾性队列分析.
- 纳入标准:急性酒精中毒的出院诊断,干预最小或没有干预.
- 分析设施费用,保险状况和平均付款情况.
主要成果:
- 13,454名患者 (2.7%的总访问) 符合研究标准.
- 酒精中毒访问平均占每天43.2个ED床上小时.
- 总设施费用为22,590,000美元,估计偿还170万美元 (7.5%).
结论:
- 患有急性酒精中毒的患者代表了ED中小型但资源密集型的患者群体.
- 这些访问的估计收费率仅为7.5%,突出显著的未偿还费用.
- 与酒精有关的干预措施的成本效益应该考虑这些ED访问的大量财务负担.
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