Roberts M F, Levine G M
Nutr Clin Pract. 1992 Oct;7(5):227-30. doi: 10.1177/0115426592007005227.
Providing nutrition support may be costly to hospitals under the prospective payment system. A nutrition support team, however, can be effective in controlling costs. To demonstrate the importance of the nutrition support team and to quantify the potential cost savings that can be achieved, a retrospective review of the effect of our team on hospital costs was conducted for the 12-month period of October 1989 to September 1990. The team supervises but does not regulate the use of total parenteral nutrition (TPN). During this time period, 176 patients received TPN. In 14 patients, the use of TPN was inappropriate, representing $65,349 in excess costs. After the cost of providing enteral nutrition to these patients (estimated at $2,430) was deducted, a net loss of $62,919 occurred. Nutrition support team action saved an additional $45,186 in hospital charges when recommendations to discontinue TPN were eventually heeded. Nutrition support team approval before TPN is initiated would achieve cost savings.
在预期支付系统下，为医院提供营养支持可能成本高昂。然而，一个营养支持团队可以有效地控制成本。为了证明营养支持团队的重要性并量化可实现的潜在成本节约，我们对1989年10月至1990年9月这12个月期间我们团队对医院成本的影响进行了回顾性研究。该团队监督但不规范全胃肠外营养（TPN）的使用。在此期间，176名患者接受了TPN。其中14名患者使用TPN不当，产生了65349美元的额外费用。在扣除为这些患者提供肠内营养的成本（估计为2430美元）后，出现了62919美元的净损失。当最终采纳停止TPN的建议时，营养支持团队的行动又为医院节省了45186美元的费用。在开始TPN之前获得营养支持团队的批准将实现成本节约。
