Back transporting infants from neonatal intensive care units to community hospitals for recovery care: effect on total hospital charges.
Back transporting infants from neonatal intensive care units to community hospitals for recovery care: effect on total hospital charges.
复制标题
将婴儿从新生儿重症监护病房运回社区医院进行康复护理：对医院总费用的影响。
DOI：
10.1542/peds.90.1.22
复制
发表时间：
1992
期刊：
影响因子：
8
通讯作者：
Lynn Mortensen
中科院分区：
文献类型：
--
作者：
C. Phibbs;Lynn Mortensen
许多新生儿被转介到新生儿重症监护病房（NICU）进行专门护理，远离父母的住所。这种距离会增加父母的压力，减少父母与新生儿的接触。小型研究发现，将这些新生儿送回离家较近的医院是安全和具有成本效益的。尽管有这些发现，许多保险公司不愿意支付回程运输费用，这阻止或推迟了许多回程运输。保险公司可能不认为以前的研究结果是结论性的，因为比较的是少数被运回的新生儿和仍在三级护理的新生儿，而且各组之间疾病严重程度的差异可能很大。在这项研究中，通过比较社区医院的护理费用与三级护理中心的护理费用，研究了医院费用的影响。这种方法的优点是它避免了组间病例组合的差异，从而最大限度地减少了小样本偏倚的可能性。收集了9个月内从NICU到非三级护理中心（n = 90）的所有转运数据。我们能够获得其中42名患者在社区医院接受护理的逐项账单。每一张账单都是用新生儿重症监护室的费用重新计算的，以确定节省费用的潜力。社区医院的康复护理平均费用比新生儿重症监护室低约6200美元。（250字处删节）
Many neonates are referred to neonatal intensive care units (NICUs) for specialized care far from their parents' residence. This distance can add to the stress of the parents and reduce the contact of the parents with their newborn. Small studies have found that back transporting these neonates to hospitals closer to their homes is safe and cost-effective. Despite these findings, the reluctance of many insurers to pay for back transports prevents or delays many back transports. Insurers may not consider the findings of the previous studies to be conclusive, given that the comparisons were between small numbers of neonates back transported and neonates who remained in tertiary care, and the potential for differences in severity of illness between the groups is significant. In this study the effect on hospital charges of back transports was examined by comparing the charges for care in community hospitals with what these charges would have been in a tertiary care center. The advantage of this method is that it avoids case-mix differences between the groups and thus minimizes the potential for small-sample bias. Data were collected for all back transports from a NICU to non-tertiary care centers (n = 90) for a 9-month period. We were able to obtain the itemized bills for the care at community hospitals for 42 of these patients. Each bill was recalculated using the charges for the NICU to determine potential for savings. The average charges for recovery care were about $6200 lower at the community hospital than they would have been at the NICU.(ABSTRACT TRUNCATED AT 250 WORDS)