紧急医疗住院申请的财务负担:疫情前,期间和后
Christopher Zeuthen1, Eric Shappell1, Daniel J Egan1,2
1Massachusetts General Hospital, Department of Emergency Medicine, Harvard Medical School, Boston, Massachusetts.
The western journal of emergency medicine
|November 5, 2025
概括
在COVID-19大流行期间,紧急医疗住院申请费用大幅下降. 然而,外出轮换和申请的费用在流行病后上升,突出显示虚拟面试是节省成本的关键机会.
科学领域:
- 医学教育 医学教育
- 申请居留权的申请流程
- 医疗保健经济学 医疗保健经济学
背景情况:
- 紧急医疗 (EM) 住院申请是昂贵的.
- 最近由于COVID-19而对EM申请建议的变化 (缺席轮换,面试) 影响了成本.
- 这些变化对EM申请人的财务影响尚不清楚.
研究的目的:
- 评估与EM居住申请流程相关的财务成本的最新趋势和变化.
- 分析流行病相关变化对申请人费用的影响.
主要方法:
- 来自德克萨斯州STAR数据库 (2019-2024) 的紧急医疗申请人调查数据的分析.
- 应用周期的分类为流行病前 (2019-2020),流行病 (2021-2022) 和流行病后 (2023-2024) 时期.
- 统计分析 (克鲁斯卡尔-瓦利斯,恩测试) 自行报告的费用 (申请费,客场轮换,面试,总费用).
主要成果:
- 申请人的总费用为5,412美元 (流行病前),2,076美元 (流行病) 和3,156美元 (流行病后).
- 2021年成本最低,在疫情期间,客场轮流,申请费和面试费大幅减少.
- 疫情后,旅游和住宿费用增加,而虚拟面试使总体面试费用低于疫情前的水平.
结论:
- 由于COVID-19大流行,急诊医疗执业申请人的总费用大幅降低.
- 在疫情后的时代,远程轮换和申请成本增加了.
- 持续使用虚拟面试为减轻申请居留权程序的财务负担提供了机会.
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