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在COVID-19住院护理中的效率:来自伊朗公共医院的调查结果
Rajabali Daroudi1,2, Behzad Raei3,4, Reza Goudarzi5
1Department of Health Management, Policy and Economics, School of Public Health, Tehran University of Medical Sciences, Poursina Ave., Tehran, Iran.
Health economics review
|November 24, 2025
概括
伊朗 伊朗 伊朗 伊朗
科学领域:
- 卫生经济学 卫生经济学
- 医院管理 医院管理
- 公共卫生政策 公共卫生政策
背景情况:
- 卫生系统面临财务挑战,增加了对高效资源利用的需求.
- 提高效率对于扩大医疗保健的财政空间至关重要.
- 这项研究侧重于伊朗公共医院在COVID-19大流行期间的效率.
研究的目的:
- 为了估计伊朗公共医院治疗COVID-19住院病例的效率.
- 为了识别医院费用和资源利用的变化.
- 为改善医疗保健系统效率提供见解.
主要方法:
- 描述性-分析性研究使用493家公共医院的439,327例COVID-19病例 (2021) 的行政索赔数据.
- 经风险调整的生存率 (RA_surv) 使用逻辑回归计算,汇总到医院水平.
- 以输入为导向的数据包裹分析 (DEA),以发票费用作为输入和RA_surv作为输出,调整以考虑上下文因素.
主要成果:
- 平均每患者的COVID-19治疗费用为236.46美元,省差异很大.
- 未调整的医院效率得分从0.083到1.00不等;全国平均调整得分为0.49.
- 在调整和未调整的效率得分之间观察到强烈的正相关性 (斯皮尔曼的rho=0.707).
结论:
- 伊朗公共医院的COVID-19住院费用存在显著差异.
- 伊朗的医疗系统内有相当大的资源节约潜力.
- 推广临床指导方针可以减少充电变化,提高系统效率.
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