在手部创伤后的30,60和90天术后期,医疗保健利用率和自付费用
Jessica I Billig1, Yixin Tang1, Michael Wu1
1University of Texas Southwestern Medical Center, Dallas, USA.
概括
手术后手部创伤护理显示了医疗保健使用和患者自付费用的显著差异. 了解这些模式对于管理成本和改善患者财务福祉至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
- 创伤护理 创伤护理
背景情况:
- 关于手术后利用和手部创伤后的支出存在知识差距.
- 这会影响患者的治疗结果和获得护理的机会.
研究的目的:
- 检查手术后的医疗保健利用率和普通手部创伤手术的自付费用.
- 为了识别手术后30,60和90天利用率和成本的变化.
主要方法:
- 对2019-2022年国家索赔数据的分析.
- 包括曲肌修复,远半径骨折的开放缩减内部固定 (ORIF),以及数字再移植/再血管化.
- 多变量回归模型用于评估患者特征与术后利用/OOP费用之间的关联.
主要成果:
- 在所有手术中,在手术后90天内观察到高利用率 (87-92%).
- 90天OOP费用的显著变化,曲肌修复 (211美元) 比ORIF (98美元) 贵得多.
- 与ORIF患者相比,柔性肌修复患者的再手术/住院几率更高,OOP费用更高.
结论:
- 在手术后的医疗保健利用和手部创伤患者的OOP费用方面存在很大差异.
- 调查结果可以为政策和实践领导人提供信息,以减轻患者的财务负担.
- 需要进行进一步的研究,以优化手部创伤患者的成本有效的护理途径.
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