Eur J Heart Fail：慢性心衰患者医疗资源使用与支出分析

2016-10-03 xing.T MedSci原创

由此可见，在加泰罗尼亚，每年的医疗预算的很大一部分是专门用于心力衰竭患者。意外住院是医疗保健相关支出的主要去向。了解非特定心衰人群的医疗费用支出及分布，可能会允许卫生服务提供者规划好心衰患者的资源分布。

心力衰竭是一种需负担巨大医疗保健费用的疾病之一。然而，在人群水平的心衰保健费用鲜为人知。最近，心血管领域权威杂志《European Journal of Heart Failure》上发表了来自西班牙巴塞罗那德迈尔医院心内科Nuria Farré医生及其团队的文章，旨在研究心力衰竭患者的人群水平分布和医疗费用支出的预测。

该研究是一个以心力衰竭人群为基础的纵向研究，纳入了截止至2012年12月31日西班牙加泰罗尼亚所有心力衰竭患者。研究者通过卫生部监控系统评估了1年的医疗资源使用和支出，该系统监控收集了整个人群的医疗资源使用的详细信息。

患者平均年龄为77.4（±12）岁；55%为女性，一年死亡率为14%。心衰患者一年至少需要一次急诊科就诊和意外住院的比例分别是53.4%和30.8%。在2013年期间，共有5亿3620万欧元用于心衰患者的护理（占医疗保健预算的7.1%）。支出的主要去向是住院费用（占总数的39%），而门诊医疗费用占总费用的20%。在一般人群中，门诊护理费用和住院费用是主要医疗开销。在多变量分析中，年龄较小、合并的疾病较多、新近发生的心衰患者和住院与较高的医疗保健支出独立相关。

由此可见，在加泰罗尼亚，每年的医疗预算的很大一部分是专门用于心力衰竭患者。意外住院是医疗保健相关支出的主要去向。了解非特定心衰人群的医疗费用支出及分布，可能会使卫生服务提供者合理规划心衰患者的资源分布。

原始出处：

Nuria Farré, et al. Medical resource use and expenditure in patients with chronic heart failure: a population-based analysis of 88 195 patients. European journal of heart failure. 2016.

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2016-10-14 1e0ece0dm09(暂无匿称)

谢谢指点迷津

59 0
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2016-10-11 1e10c84am36(暂无匿称)

好文章，受益

62 0
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2016-10-05 bluefate121

#医疗资源#

30 0
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2016-10-05 zhaojie88

#ART#

20 0
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encryptionId=b0702e84b9, topicName=ART)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=zhaojie88, createdTime=Wed Oct 05 11:59:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1373322, encodeId=1e8313e332265, content=<a href='/topic/show?id=2fd051939ab' target=_blank style='color:#2F92EE;'>#心衰患者#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=51939, encryptionId=2fd051939ab, topicName=心衰患者)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=467c360, createdName=yuanming7, createdTime=Wed Oct 05 11:59:00 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1562392, encodeId=092015623922e, content=<a href='/topic/show?id=f69d864413' target=_blank style='color:#2F92EE;'>#HEART#</a>, beContent=null, objectType=article, channel=null, 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objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Wed Oct 05 06:24:02 CST 2016, time=2016-10-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140162, encodeId=a7d314016265, content=学习啦，，, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 23:32:35 CST 2016, time=2016-10-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=140161, encodeId=2a8f14016169, content=心力衰竭很难治疗, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 23:32:26 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
2016-10-05 yuanming7

#心衰患者#

30 0
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2016-10-05 slcumt

#HEART#

28 0
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2016-10-05 童小孩

我们应该学习这样的方式，客观分析

53 0
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2016-10-05 刘煜

学习了谢谢。

45 0
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2016-10-04 医路开来

学习啦，，

43 0
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encodeId=2a8f14016169, content=心力衰竭很难治疗, beContent=null, objectType=article, channel=null, level=null, likeNumber=26, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4NfdY7yem1P7bRvOP6z0jKsBoYR8ezfAricY7meQWcte7LRJsWHVn0CnPJg2JuQmevR0DoFmmEib5QLD2kNESBESQT/0, createdBy=59191706502, createdName=医路开来, createdTime=Tue Oct 04 23:32:26 CST 2016, time=2016-10-04, status=1, ipAttribution=)]
2016-10-04 医路开来

心力衰竭很难治疗

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