在商业保险人口中 (2016-2022) 产科超声波的利用和支出 (2016-2022)
Amanda Speller1, Joanne Armstrong2, Kathe Fox3
1PhD Program in Health Policy, Harvard University, Cambridge, Massachusetts, USA.
概括
产科超声波的使用和支出在2016年至2022年间增加,随访超声波显示增长最快. 在2020年,由于大流行,利用率下降.
科学领域:
- 医学经济学 医学经济学
- 医疗保健服务研究 医疗服务研究
- 产科和妇科 产科和妇科
背景情况:
- 产科超声波是产前护理中的关键诊断工具.
- 了解利用和支出趋势对于医疗保健资源管理至关重要.
- 以前的分析可能没有反映出近期产科超声波实践的变化.
研究的目的:
- 分析产科超声波的使用趋势和每活产的支出.
- 通过超声波类型和患者子组检查使用的变化.
- 为决策者提供有关资源分配和补偿的最新数据.
主要方法:
- 使用医疗保健成本研究所商业索赔数据库 (2017-2022) 进行的回顾性队列研究.
- 对生产活产 (怀孕28周以上) 的产科超声声索赔的分析.
- 描述性统计和负二项式回归以确定利用趋势和相关性.
主要成果:
- 每个活产儿平均有5.3个产科超声索赔记录.
- 在研究期间,每个活产子的超声波利用率增加了8.3%,支出增加了5.6% (经通货膨胀调整).
- 随访超声波 (CPT 76816) 显示出最显著的增长;在COVID-19大流行期间,在2020年利用率下降.
结论:
- 产科超声波的利用和支出从2016年到2022年有所增加.
- 识别超声波使用模式的变化可以为有关资源管理的政策决策提供信息.
- 调查结果可以指导报销策略,包括产科护理的捆绑支付模式.
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