最后一分钟取消的成本:分析时间,原因,以及你不会回来的时间块
Sophia McMahon1, Fritz Steuer1, Ryan T Lin1
1Department of Orthopaedic Surgery, University of Pittsburgh, Pittsburgh, Pennsylvania.
JB & JS open access
|December 24, 2025
概括
在手术后7天内取消手术,大大降低了填补时间段的可能性,导致大幅损失收入. 无法获得医疗许可是非选择性取消的常见原因.
科学领域:
- 手术结果研究研究.
- 医疗保健经济学 医疗保健经济学
- 患者管理 患者管理
背景情况:
- 手术取消会影响资源利用和收入.
- 了解取消模式对于运营效率至关重要.
- 调查非选择性取消的原因,例如医疗许可,是很重要的.
研究的目的:
- 为了确定手术后1周内取消的费用是否更昂贵.
- 评估医疗许可失败的频率作为非选择性取消的原因.
主要方法:
- 追溯对1684次手术的回顾.
- 对手术后2周内取消手术的分析,按时间和原因分类.
- 估计收入和相对价值单位 (RVU) 损失的计算.
主要成果:
- 在0-7天内取消的取消率 (43.8%) 与8-14天 (93.4%) 相比,填充率明显较低.
- 缺乏医疗许可占7天内取消订单的17.2%.
- 大约385,624美元的收入因未填补的时间段而丢失.
结论:
- 手术前7天存在一个转折点,显著降低时间区填充率.
- 由于缺乏医疗许可而导致的非选择性取消有助于显著的收入损失.
- 优化手术前清除流程可以减轻手术取消的财务损失.
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