三级医疗中心内科重症监护病房住院时间及平均治疗费用的研究

Aditi Agrawal, M. Gandhe, S. Gandhe, N. Agrawal
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引用次数: 14

摘要

导言:在这个时代,保健设施得到了极大的改善,这增加了人类的预期寿命,但所有这些成本以及因此对保健干预措施的经济评价的作用变得越来越重要,特别是在印度等发展中国家。目的:估计重症监护病房(ICU)患者的费用、疾病支出和费用领域(治疗和诊断)。材料和方法:本前瞻性观察研究在孟买地区私立三级保健医院进行。纳入标准为2014年1月至2014年2月(2个月)住院医学ICU (MICU)患者。治疗费用包括医院ICU床位费、诊断费用(常规和特殊检查)、治疗费用、供氧费用、监护费用、雾化费用、呼吸机费用、药物费用和其他耗材费用。结果:50例患者在以上时间内入住MICU。患者在MICU的平均住院时间为4天(约为4.01),不稳定型心绞痛最短为1天,充血性心力衰竭最长为11天。结论:重症监护病房治疗费用的主要来源是药品,使用仿制药可降低此类费用。
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Study of length of stay and average cost of treatment in Medicine Intensive Care Unit at tertiary care center
Introduction: In this era, health-care facilities have improved greatly which has increased the life expectancy of humanity, but all these costs and so the role of economic evaluations of health-care interventions has become increasingly important especially in developing countries like India. Objective: To estimate the expenses of a patient in Intensive Care Unit (ICU), disease wise expenditure and area of expenses (therapeutic and diagnostic). Materials and Methods: This prospective observational study was conducted in tertiary care hospital of private setup in Mumbai region. The inclusion criterion was admitted patients in medicine ICU (MICU) on the basis of the clinical presentation during January 2014–February 2014 (2 months). The cost of treatment included the bed charges in the hospital ICU, diagnostic cost (routine and special investigations), therapeutic cost, cost of oxygen, monitor, nebulization, ventilator, cost of drugs, and other consumables were assessed. Results: Totally fifty patients were admitted in above period to MICU. The average stay of a patient in MICU amounts to 4 days (approximated for 4.01) with the least being 1 day for unstable angina and maximum 11 days for congestive cardiac failure. Conclusion: The major shares of expenses in treatment in MICU were on medicines, and this can be reduced using generic drugs.
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