Dalovisio J R, Juneau J, Baumgarten K, Kateiva J
Ochsner Clinic, New Orleans, LA 70121, USA.
Clin Infect Dis. 2000 Apr;30(4):639-42. doi: 10.1086/313755. Epub 2000 Apr 4.
This study quantitates cost savings achieved by a home intravenous antibiotic (HIVA) program in a Medicare managed health care program. In 1998, 66 treatment courses of HIVA therapy were administered for a total of 1542 patient-days of therapy. The calculated cost of HIVA therapy included the actual costs of drugs, supplies, nursing and therapists' salaries, and laboratory studies. Savings were calculated based on the average daily direct variable cost (DDVC) for hospital acute unit or skilled nursing facility (SNF) care associated with the patient's discharge diagnosis-related-group. The number of days on HIVA therapy was assumed to equal the number of days in the hospital acute unit or hospital-based SNF. The average cost per day of HIVA therapy was $122, whereas average DDVC of hospital acute unit care was $798, and the average DDVC of SNF care was $541. In 1 year, the HIVA program saved our health care system $646,000-$834,000, which demonstrates that HIVA programs are powerful tools to reduce costs in Medicare managed health care programs.
本研究对医疗保险管理式医疗保健计划中家庭静脉抗生素（HIVA）项目所实现的成本节约进行了量化。1998年，共实施了66个HIVA治疗疗程，总计1542个患者治疗日。HIVA治疗的计算成本包括药物、用品、护理及治疗师工资以及实验室检查的实际成本。节约的费用是根据与患者出院诊断相关组相关的医院急性病房或熟练护理设施（SNF）护理的平均每日直接可变成本（DDVC）计算得出的。假设HIVA治疗的天数与医院急性病房或医院附属SNF的天数相等。HIVA治疗的平均每日成本为122美元，而医院急性病房护理的平均DDVC为798美元，SNF护理的平均DDVC为541美元。在1年时间里，HIVA项目为我们的医疗保健系统节省了64.6万至83.4万美元，这表明HIVA项目是降低医疗保险管理式医疗保健计划成本的有力工具。
