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眼手术费用在美国各地的门诊机构
Zoe Zhiyu Wu1, Julius T Oatts2, David G Hunter3
1Department of Epidemiology, Harvard T.H. Chan School of Public Health, Boston Massachusetts; Schulich School of Medicine & Dentistry, Western University, London, Ontario, Canada.
概括
在美国,眼手术的费用有很大差异. 诸如地区,医院类型和患者收入等因素影响了这些费用,影响了获得护理的机会.
科学领域:
- 眼科医生 眼科 眼科
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- ,或眼睛不对齐,影响着相当一部分人口,往往需要手术干预.
- 了解眼手术的成本变化对于评估医疗保健的可访问性和资源配置至关重要.
研究的目的:
- 确定导致美国医院拥有设施的眼手术费用范围广泛的关键因素.
- 分析患者,医院和地区特征对手术成本的影响.
主要方法:
- 从2016年1月到2020年12月使用国家门诊外科样本对154,005例眼手术患者的横截面分析.
- 采用多变量线性回归模型来评估费用与各种人口,医院和地理因素之间的关联,控制程序复杂性和通货膨胀.
主要成果:
- 眼手术的中位数费用为12,889美元,观察到区域差异很大 (例如,东北比中西部高).
- 非教学医院和农村设施报告的费用分别较高和较低,与他们的同行相比.
- 来自较低收入四分位数的患者面临更高的平均费用,这表明手术成本的潜在社会经济梯度.
结论:
- 在全国范围内,眼手术费用的地理和社会经济差异很大.
- 这些成本差异可能会影响眼科子专家的分配,并为眼患者的治疗获得障碍.
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