Comparison shopping: Is neuropsychological evaluation more expensive than neuroimaging?
Comparison shopping: Is neuropsychological evaluation more expensive than neuroimaging?
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DOI：
10.1080/13854046.2021.1976839
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发表时间：
2021-09-03
影响因子：
3.9
通讯作者：
Davis, Jeremy J.
中科院分区：
文献类型：
--
作者：
Kurniadi, Natalie E.;Davis, Jeremy J.
目的：这项研究经验性地检查了神经心理学评估（NPE）与其他诊断程序（如神经影像学）相比是否昂贵。方法：我们汇总了NPE和常见神经影像学检查的费用数据（例如，头部CT和脑部MRI）。将5小时NPE和8小时NPE的收费分别与头部CT和脑部MRI的收费进行比较。计算5小时NPE和头部CT之间以及8小时NPE和脑部MRI之间的差异评分。250美元或更少的费用差异被认为是最小的。NPE和神经成像费用在美国各地区进行了比较。结果：中位头部CT费用为1942美元至2699美元。脑部MRI的中位费用为3103美元至4487美元。五小时NPE费用中位数为1855美元至1977美元。8小时NPE的平均费用为2757美元至2917美元。头部CT和5小时NPE收费没有显著差异。8小时NPE和脑MRI电荷没有显著差异。在32.3%的医院中，5小时NPE和头部CT之间的费用差异很小。在21.2%的医院中，8小时NPE和脑部MRI之间的费用差异很小。美国地区在NPE或神经影像学的费用方面没有显着差异。结论：调查结果提供了初步的数据，收费NPE的收费常见的成像程序。NPE似乎并不比神经成像更昂贵，事实上，似乎相当。未来的研究可能会扩大关于NPE收费的信息，以包括其他设置。
Objective: This study empirically examined if neuropsychological evaluation (NPE) is expensive compared to other diagnostic procedures such as neuroimaging. Method: We aggregated data on charges for NPE and common neuroimaging procedures (e.g., head CT and brain MRI) from hospitals in the U.S. Charges for five-hour NPE and eight-hour NPE were compared to charges for head CT and brain MRI, respectively. Difference scores were calculated between five-hour NPE and head CT and between eight-hour NPE and brain MRI. A charge difference of $250 or less was considered minimal. NPE and neuroimaging charges were compared across U.S. regions. Results: Median head CT charges were $1942 to $2699. Median brain MRI charges were $3103 to $4487. Median five-hour NPE charges were $1855 to $1977. Median eight-hour NPE charges were $2757 to $2917. Head CT and five-hour NPE charges were not significantly different. Eight-hour NPE and brain MRI charges were not significantly different. Charge differences between five-hour NPE and head CT were minimal in 32.3% of hospitals. Charge differences between eight-hour NPE and brain MRI were minimal in 21.2% of hospitals. U.S. regions were not significantly different in charges for NPE or neuroimaging. Conclusions: Findings provide preliminary data on charges for NPE in relation to charges for common imaging procedures. NPE does not appear to be more expensive than neuroimaging and, in fact, appears comparable. Future research might expand the information on NPE charges to include additional settings.