了解牛皮护理费用和并发症的影响:在综合实践单位的基于活动的时间驱动成本分析
Joke Borzée1,2, Brecht Cardoen3,2, Filip Roodhooft3,2
1Vlerick Business School, Ghent, Belgium joke.borzee@hotmail.com.
BMJ open
|January 9, 2026
概括
治疗牛皮的成本因患者而异,因伴随性疾病和疾病严重程度而异. 目前的服务费偿还模式不足以满足这些患者特定的护理需求.
科学领域:
- 卫生经济学 卫生经济学
- 皮肤病学 皮肤病学
- 临床成本计算 临床成本计算
背景情况:
- 牛皮管理涉及多个部门和并发症,使成本分析复杂化.
- 现有的医疗保健成本研究往往缺乏全周期的视角.
- 已注册了一项临床试验 (NCT05480917),旨在调查牛皮治疗费用.
研究的目的:
- 评估管理牛皮及其并发症的综合成本.
- 确定牛皮患者医疗保健成本的关键决定因素.
- 为了比较实际的护理费用与服务费 (FFS) 报销.
主要方法:
- 使用了七步,时间驱动的基于活动的成本 (TD-ABC) 分析.
- 员工直接观察和采访,用于患者一级的成本估计.
- 在比利时大学医院的综合实践单位 (IPU) 进行了这项研究.
主要成果:
- 六个月的护理费用差异很大 (169.78欧元~1454.97欧元),取决于心理健康,疾病严重程度和并发症.
- 伴随性疾病显著增加了直接和皮肤病护理费用.
- 在TD-ABC成本变化和FFS退款价格之间发现了差异.
结论:
- TD-ABC为综合护理提供了详细的患者级成本洞察力,包括并发症.
- 伴随性疾病管理对于了解牛皮的经济负担至关重要.
- 目前的FFS补偿系统无法考虑牛皮病护理的患者特定成本变化.
相关概念视频
Methods of Documentation VI: Case Management Model
852
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
852
Methods of Documentation II: POMR
1.4K
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
1.4K
Peripheral Artery Disease III: Interprofessional Care
236
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
236
Health Information Technology and Healthcare Information System
3.3K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
3.3K
Integrated Healthcare System
2.3K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.3K
Interdisciplinary Care: The Health Care Team-II
2.1K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.1K


