Department of Emergency Medicine, Rhode Island Hospital, and the Alpert Medical School of Brown University, Providence, RI.
Brigham and Women's Hospital and Harvard Medical School, Boston, MA.
Ann Emerg Med. 2013 Nov;62(5):498-505.e3. doi: 10.1016/j.annemergmed.2013.03.029. Epub 2013 Apr 24.
This article evaluates current evidence on the cost of emergency care. First, we reviewed data from national data sets and found that aggregate spending on emergency care is 5% to 6% of national health expenditures but could be as high as 10%. These figures are significantly higher than those previously published. Second, we reviewed the literature on economic models of the cost of emergency care and found that the results are inconclusive and incomplete. As an alternative, we discussed activity-based cost accounting and concluded that it is a promising research methodology for emergency medicine. We conclude by advocating for a strategy to demonstrate the value and strategic importance of emergency medicine rather than minimizing its role in national health care costs.
本文评估了有关紧急护理成本的现有证据。首先，我们审查了国家数据集的数据，发现紧急护理的总支出占国家卫生支出的 5%至 6%，但最高可达 10%。这些数字明显高于之前公布的数字。其次，我们审查了关于紧急护理成本经济模型的文献，发现结果不确定且不完整。作为替代方法，我们讨论了基于活动的成本核算，并得出结论，它是急诊医学有前途的研究方法。最后，我们主张采取一种策略来证明急诊医学的价值和战略重要性，而不是将其在国家卫生保健成本中的作用降至最低。
