主要接触物理治疗与急诊室的标准紧急医生护理:基于时间驱动的活动的成本分析
Rose Gagnon1,2,3, Kadija Perreault1,3, Jason R Guertin2,4
1Center for Interdisciplinary Research in Rehabilitation and Social Integration (Cirris), Centre Intégré Universitaire de Santé et de Services Sociaux (CIUSSS) de la Capitale-Nationale, Quebec City, QC, Canada.
CJEM
|February 18, 2026
概括
这项研究比较了三种护理模型中肌肉骨疾病的急诊室 (ED) 费用. 物理治疗师的参与并没有显著增加成本,这表明有成本有效的护理的潜力.
科学领域:
- 卫生经济学 卫生经济学
- 肌肉骨系统疾病 肌肉骨系统疾病
- 紧急医疗 紧急医疗
背景情况:
- 紧急诊所 (ED) 面临着对肌肉骨疾病管理的需求日益增加.
- 了解不同护理模式的成本影响对于医疗保健支付人来说至关重要.
- 目前的ED护理模式可能无法优化肌肉骨疾病管理的成本效益.
研究的目的:
- 为了在三个护理模式中比较轻微的肌肉骨疾病的ED访问的平均成本:紧急医生领导的,物理治疗师和紧急医生的联合管理,以及物理治疗师领导的管理.
- 从加拿大公共支付人的角度来评估将物理治疗师纳入ED护理的费用效率.
主要方法:
- 一项使用实用随机临床试验数据的成本研究,该实验是在加拿大学术ED.
- 基于时间驱动的基于活动的成本计算 (TDABC) 用于根据与患者投资的时间来计算成本.
- 用通用线性模型来分析护理模型之间的成本差异.
主要成果:
- 物理治疗师和急诊医生管理的ED访问成本平均为267.08美元,而急诊医生领导的管理则为245.14美元,这是一个不显著的差异.
- 灵敏度分析表明,在物理治疗师领导的ED管理下,每名患者的潜在平均节约为50.76美元,尽管这在统计学上并不显著.
- 随着物理治疗师被纳入ED治疗肌肉骨疾病的护理中,没有观察到显著的成本增加.
结论:
- 物理治疗师参与肌肉骨疾病的ED护理显示出具有成本效益管理的潜力,而不会显著增加加拿大公共支付人的医疗保健支出.
- 这项研究提供了关于不同ED护理模式对肌肉骨疾病的经济影响的初步见解.
- 进一步的研究是有必要的,以充分了解长期的经济效益和物理治疗师领导或共同管理的护理在ED设置的最佳实施.
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