以活动为基础的资助模式下的家庭肠外营养——澳大利亚的成本研究。

IF 3.2 4区 医学 Q3 NUTRITION & DIETETICS
Nutrition & Dietetics Pub Date : 2025-09-01 Epub Date: 2025-03-26 DOI:10.1111/1747-0080.70010
Sharon Carey, Rena H M Cao, Dayna Moore, Michelle Cunich
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引用次数: 0

摘要

目的:在门诊环境中,对需要家庭肠外营养的个人的管理成本了解有限。本研究旨在量化管理家庭肠外营养(家庭和多学科门诊诊所设置)的医疗成本,并将发生的成本与基于活动的资助模式进行比较。方法:一项为期12个月的回顾性研究,比较了家庭外营养费用和门诊费用的资助报销。成本计算数据来自澳大利亚悉尼一家第四医院的电子病历和每月医院财务报告,涉及28名需要家庭肠外营养的患者。计算医院薪酬。数据以中位数和极差表示。结果:接受家庭肠外营养治疗的个人在一年中参加了4(3-7)次多学科门诊的中位数(范围),其中一次门诊的费用为294.51澳元,低于基于允许医疗账单的资助模式的366.37澳元的报销;以活动为基础的资金为560.55澳元,其中增加了多学科投入的额外负担。每个人每月在家的费用中位数为6949.86澳元(2951.64澳元至15015.77澳元),而资助模式的报销额为每人每月7374.64澳元。结论:目前的医疗资助模式足以覆盖家庭肠外营养多学科门诊服务费用以及单点研究中的家庭费用。这可能是由于常规使用即用即用的三合一肠外营养液。需要进一步的多中心研究来更好地了解资助,证实本研究的结果,并为未来的资助修订提供信息。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Home parenteral nutrition under an activity based funding model-An Australian costing study.

Aim: There is limited understanding about the cost of managing individuals requiring home parenteral nutrition within an outpatient setting. This study aimed to quantify healthcare costs of managing home parenteral nutrition (at-home and within the multidisciplinary outpatient clinic setting) and compare incurred costs against an activity-based funding model.

Methods: A 12-month retrospective study compared parenteral nutrition at-home costs and outpatient clinic costs to funding reimbursement. Costing data were retrieved from electronic medical records and monthly hospital finance reports for 28 individuals that required home parenteral nutrition at a quaternary hospital in Sydney, Australia. Hospital remuneration was calculated. Data are presented as median and range.

Results: Individuals on home parenteral nutrition attended a median (range) of 4 (3-7) multidisciplinary outpatient appointments over the year, where one outpatient appointment cost AU$294.51, less than the reimbursement of AU$366.37 based on the funding model allowing for medical billing; and AU$560.55 for activity-based funding where additional loading was added for multidisciplinary input. The median at-home costs per individual per month were AU$6949.86 (AU$2951.64 to AU$15015.77), compared to the funding model reimbursement of AU$7374.64 per individual per month.

Conclusions: The current healthcare funding model sufficiently covers home parenteral nutrition multidisciplinary outpatient service costs as well as at-home costs within this single-site study. This is likely due to the routine use of ready-to-hang 3-in-1 parenteral nutrition solutions. Further multicentre research is needed to better understand funding, corroborate the findings of this study, and inform future funding revisions.

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来源期刊
Nutrition & Dietetics
Nutrition & Dietetics 医学-营养学
CiteScore
6.40
自引率
16.10%
发文量
69
审稿时长
>12 weeks
期刊介绍: Nutrition & Dietetics is the official journal of the Dietitians Association of Australia. Covering all aspects of food, nutrition and dietetics, the Journal provides a forum for the reporting, discussion and development of scientifically credible knowledge related to human nutrition and dietetics. Widely respected in Australia and around the world, Nutrition & Dietetics publishes original research, methodology analyses, research reviews and much more. The Journal aims to keep health professionals abreast of current knowledge on human nutrition and diet, and accepts contributions from around the world.
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