Division of Infectious Diseases, Section of Hospital Medicine, University of California, Davis Medical Center, Sacramento, CA 95817, USA.
Clin Infect Dis. 2010 Sep 15;51 Suppl 2:S220-3. doi: 10.1086/653523.
The cost of health care in the United States continues to increase as an aging population places increasing demands on institutions providing health care. Moreover, despite increases in the complexity and cost of health care, reimbursement for some services has been reduced or denied. Thus, the current challenge at many hospitals throughout the United States is to deliver high-quality health care while maximizing resource use and reducing costs without compromising clinical outcomes. We describe an answer to the challenge that combines 2 emerging treatment models in an academic setting: hospital-based physicians and outpatient parenteral antimicrobial therapy.
美国的医疗保健成本持续上升，因为老龄化人口对提供医疗保健的机构提出了越来越高的要求。此外，尽管医疗保健的复杂性和成本不断增加，但某些服务的报销却有所减少或被拒绝。因此，目前美国许多医院面临的挑战是，在不影响临床结果的情况下，提供高质量的医疗保健，同时最大限度地利用资源并降低成本。我们描述了一种在学术环境中结合 2 种新兴治疗模式的应对方案：医院医生和门诊肠外抗菌治疗。
