Soundarraj Dwarakraj, Singh Vini, Satija Vaibhav, Thakur Ranjan K
Liberty Cardiovascular Associates, Liberty Hospital, Liberty, MO, USA.
Thoracic and Cardiovascular Institute, Michigan State University, Lansing, MI, USA.
Heart Fail Clin. 2017 Jan;13(1):21-28. doi: 10.1016/j.hfc.2016.07.002.
Heart failure (HF) consumes a large proportion of the total national health care budget. Incidence and prevalence of HF are increasing and may give rise to an unsustainable increase in health care spending. Hospitalizations account for the vast majority of HF-related expenses, and 20% to 25% of patients discharged with a diagnosis of HF are readmitted within 60 days. Thus, efforts to reduce HF readmissions are a reasonable target for reducing overall expenses. It is to be seen if targeting readmission rates will lead to significant cost savings, and more importantly, to improved patient outcomes.
心力衰竭(HF)消耗了国家医疗保健总预算的很大一部分。HF的发病率和患病率正在上升,可能导致医疗保健支出不可持续地增加。住院占与HF相关费用的绝大部分,20%至25%被诊断为HF出院的患者在60天内再次入院。因此,努力降低HF再入院率是降低总体费用的合理目标。针对再入院率是否会带来显著的成本节约,更重要的是,是否会改善患者预后,还有待观察。