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低成本、高数量的卫生服务对不必要的卫生支出贡献最大。

Low-Cost, High-Volume Health Services Contribute The Most To Unnecessary Health Spending.

机构信息

John N. Mafi (

Kyle Russell is the All Payer Claims Database program manager at Virginia Health Information, in Richmond.

出版信息

Health Aff (Millwood). 2017 Oct 1;36(10):1701-1704. doi: 10.1377/hlthaff.2017.0385.

DOI:10.1377/hlthaff.2017.0385
PMID:28971913
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6727655/
Abstract

An analysis of data for 2014 about forty-four low-value health services in the Virginia All Payer Claims Database revealed more than $586 million in unnecessary costs. Among these low-value services, those that were low and very low cost ($538 or less per service) were delivered far more frequently than services that were high and very high cost ($539 or more). The combined costs of the former group were nearly twice those of the latter (65 percent versus 35 percent).

摘要

对弗吉尼亚州所有支付者索赔数据库 2014 年的 44 项低价值医疗服务数据进行分析后发现，这些不必要的费用超过 5.86 亿美元。在这些低价值服务中，那些费用较低和极低的服务（每次服务 538 美元或以下）的提供频率远远高于费用较高和极高的服务（每次服务 539 美元或以上）。前者的总费用几乎是后者的两倍（前者占 65%，后者占 35%）。

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本文引用的文献

[1]
Association of Primary Care Practice Location and Ownership With the Provision of Low-Value Care in the United States.

JAMA Intern Med. 2017-6-1

[2]
The Effects of Training Institution Practice Costs, Quality, and Other Characteristics on Future Practice.

Ann Fam Med. 2017-3

[3]
Focusing on High-Cost Patients - The Key to Addressing High Costs?

N Engl J Med. 2017-3-2

[4]
Low-Value Health Care Services in a Commercially Insured Population.

JAMA Intern Med. 2016-10-1

[5]
How Can We Improve the Efficiency of Specialty Care?

J Gen Intern Med. 2016-11

[6]
Comparing Use of Low-Value Health Care Services Among U.S. Advanced Practice Clinicians and Physicians.

Ann Intern Med. 2016-8-16

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Trends in the ambulatory management of headache: analysis of NAMCS and NHAMCS data 1999-2010.

J Gen Intern Med. 2015-5

[8]
Measuring low-value care in Medicare.

JAMA Intern Med. 2014-7

[9]
Worsening trends in the management and treatment of back pain.

JAMA Intern Med. 2013-9-23

[10]
Automated identification of postoperative complications within an electronic medical record using natural language processing.

JAMA. 2011-8-24

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