Spending on Hospital Care and Pediatric Psychology Service Use Among Adolescents and Young Adults With Cancer.
Spending on Hospital Care and Pediatric Psychology Service Use Among Adolescents and Young Adults With Cancer.
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患有癌症的青少年和年轻人在医院护理和儿科心理服务使用方面的支出。
DOI：
10.1093/jpepsy/jsx001
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发表时间：
2017
影响因子：
3.6
通讯作者：
Pai,AhnaLH
中科院分区：
文献类型：
--
作者：
McGrady,MeghanE;Peugh,JamesL;Brown,GabriellaA;Pai,AhnaLH
目的探讨基于需求的儿科心理服务的使用和支出之间的关系，在青少年和年轻的成年人（AYAs）与cancer.MethodsBilling数据从48个AYAs癌症接受基于需求的儿科心理服务和48个AYAs癌症不接受服务的比较队列。协方差析因分析研究了住院治疗费用的组间差异。等待显着的结果，一个多变量的协方差分析，计划研究基于需求的儿科心理服务的使用和住院费用之间的关系，急诊科（艾德）的访问，门诊visits.ResultsExpending为医院护理是AYAs接受基于需求的儿科心理服务比在比较队列（p<0.001，）。组间差异驱动的显着较高的支出为住院和艾德访问AYAs接受基于需求的儿科心理service.ConclusionsThe行为和心理社会困难，以满足需求为基础的儿科心理服务可能会预测更高的医疗保健支出。
ObjectiveTo examine the relationship between need-based pediatric psychology service use and spending on hospital care among adolescents and young adults (AYAs) with cancer.MethodsBilling data were obtained from 48 AYAs with cancer receiving need-based pediatric psychology services and a comparison cohort of 48 AYAs with cancer not receiving services. A factorial analysis of covariance examined group differences in spending for hospital care. Pending significant findings, a multivariate analysis of covariance was planned to examine the relationship between need-based pediatric psychology service use and spending for inpatient admissions, emergency department (ED) visits, and outpatient visits.ResultsSpending for hospital care was higher among AYAs receiving need-based pediatric psychology services than in the comparison cohort (p< .001,). Group differences were driven by significantly higher spending for inpatient admissions and ED visits among AYAs receiving need-based pediatric psychology services.ConclusionsThe behavioral and psychosocial difficulties warranting need-based pediatric psychology services may predict higher health care spending.