IF 2.5 3区 医学 Q2 HEMATOLOGY
Transfusion Pub Date : 2025-03-27 DOI:10.1111/trf.18217
Timothy Hurson, Randall Schaefer, Christine Carico, Russell Griffin, Eric Bank, Jon Krohmer, Donald Jenkins, John Holcomb, Zain Hashmi
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引用次数: 0

摘要

背景:院前输血可提高失血性休克患者的存活率,但仍未得到充分利用,部分原因是资金障碍。然而,人们对院前输血项目如何报销却知之甚少。本研究旨在确定院前输血项目获得报销的比例、符合公共医疗保险条件的受血患者(儿科和老年病患者)的比例,以及这些人群输血的最常见原因:研究设计与方法:对 2024 年积极开展输血项目的紧急医疗服务机构进行电子调查:在对调查做出回应的 53/150 家机构中,只有 6 家(11%)机构报告院前输血获得了报销。然而,53 家机构(100%)报告为老年病人输血,43 家机构(81%)报告为儿科病人输血,这两类病人都有资格享受公共医疗保险。医疗紧急情况是老年病人最常见的输血指征,而钝器和/或穿透伤则是儿科病人输血的主要指征。在大多数机构中,老年病人和儿童患者是输血的常客,各占输血总量的 50%:结论:许多接受院前输血的患者都符合公共医疗保险条件。改变医疗政策,使政府能够报销院前输血费用,将为这一挽救生命的干预措施提供重要的财政支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluating reimbursement for prehospital blood transfusions: A nationwide survey.

Background: Prehospital blood transfusion improves survival among patients in hemorrhagic shock but remains underutilized, in part due to financial barriers. However, little is known about how prehospital blood transfusion programs are reimbursed. The objective of this study is to determine the percentage of prehospital blood transfusion programs that receive reimbursement, the percentage of patients receiving blood who were public health insurance-eligible (pediatric and geriatric patients), and the most common reason for blood transfusions in these populations.

Study design and methods: An electronic survey was administered to Emergency Medical Services agencies with an active blood transfusion program in 2024.

Results and discussion: Of the 53/150 agencies who responded to the survey, only 6 (11%) agencies reported receiving reimbursement for prehospital blood transfusions. However, 53 (100%) agencies reported transfusing geriatric patients, and 43 (81%) agencies reported transfusing pediatric patients, both groups that are eligible for public health insurance. Medical emergencies were the most common indications for transfusion in geriatric patients, whereas blunt and/or penetrating injuries were the primary indications for transfusion in pediatric patients. For most agencies, geriatric and pediatric patients were frequent recipients of blood transfusions, each comprising up to 50% of the total transfusions administered.

Conclusion: Many patients who receive prehospital blood transfusion are public health insurance-eligible. Health policy changes to enable government reimbursement for prehospital blood transfusions would provide critical financial support for this life-saving intervention.

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来源期刊
Transfusion
Transfusion 医学-血液学
CiteScore
4.70
自引率
20.70%
发文量
426
审稿时长
1 months
期刊介绍: TRANSFUSION is the foremost publication in the world for new information regarding transfusion medicine. Written by and for members of AABB and other health-care workers, TRANSFUSION reports on the latest technical advances, discusses opposing viewpoints regarding controversial issues, and presents key conference proceedings. In addition to blood banking and transfusion medicine topics, TRANSFUSION presents submissions concerning patient blood management, tissue transplantation and hematopoietic, cellular, and gene therapies.
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