应用于成本效益值延迟相关的伤害在紧急入院:一种新的方法
Orla Kelly1, Sidonie Chard2, Gerard Markey3
1Department of Emergency Medicine, University Hospital Waterford, Waterford, Ireland.
Emergency medicine journal : EMJ
|December 16, 2025
概括
这项研究表明,在解决急诊室延误的条件下,每年在爱尔兰投资相当于90张新床位的资源可能具有成本效益,以防止患者的伤害和死亡. 这只代表了医院支出的一小部分.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 紧急医疗 紧急医疗
背景情况:
- 紧急诊所 (ED) 的延误与患者的不良结果有关,包括短期死亡率的增加.
- 量化ED延误的经济影响对于资源分配和政策制定至关重要.
- 成本效益值可以指导对资源投资的决策,以减轻损害.
研究的目的:
- 将ED延迟相关的伤害作为一个可以管理的单独条件.
- 确定旨在减少爱尔兰ED延迟的干预措施的成本效益.
- 使用明确的成本效益值来指导ED延迟的管理策略.
主要方法:
- 经济建模方法用于评估干预措施的成本效益.
- 利用已报道的延迟急诊和短期死亡率之间的关联.
- 计算所需的资源 (病床年或新病床),以防止每名患者损失1个质量调整生命年 (QALY).
主要成果:
- 防止在爱尔兰因ED延迟而受到损害的患者每人失去1个QALY,可以证明每年相当于70个额外的床上年数的资源是合理的.
- 这将转化为为大约90张新医院病床的基础设施资金.
- 预计额外的资源承诺不到爱尔兰公共急性医院部门年度支出的1%.
结论:
- 在爱尔兰,投资基础设施以减少ED延迟是一个具有成本效益的战略.
- 这些发现支持为增加医院床位分配资源,以改善患者的治疗结果和降低死亡率.
- 拟议的投资在现有公共医疗保健预算内经济可行.
相关概念视频
01:12Hazard Ratio
549
The hazard ratio (HR) is a widely used measure in clinical trials to compare the risk of events, such as death or disease recurrence, between two groups over time. It reflects the ratio of hazard rates—the instantaneous risk of the event occurring—between a treatment group and a control group. This measure provides valuable insights into the relative effectiveness of a treatment by assessing how the risk of an event differs between the two groups.
For example, in a clinical trial...
For example, in a clinical trial...
549
01:08The Availability Heuristic
6.9K
A heuristic is a general problem-solving framework (Tversky & Kahneman, 1974). You can think of these as mental shortcuts that are used to solve problems. Different types of heuristics are used in different types of situations, and the impulse to use a heuristic occurs when one of five conditions is met (Pratkanis, 1989):
6.9K
01:29Nursing Interventions II: Selecting and Classifying the Nursing Interventions
3.0K
Creating and executing a nursing diagnosis helps nurses plan care and guide patient, family, and community interventions. They are developed based on a patient's physical evaluation and support measuring the outcomes. It is not recommended to select random interventions throughout the planning process. Instead, consider the following six essential factors when choosing interventions:
3.0K
01:22Healthcare Associated Infections II: Preventive Measures
3.5K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
3.5K
01:30Ethical Dilemmas II
2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K
01:23Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches
380
Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast,...
380