School of Public Health and Health Systems, University of Waterloo, Waterloo, Canada.
Green Templeton College, University of Oxford, Oxford, UK.
Am J Clin Pathol. 2019 Apr 2;151(5):446-451. doi: 10.1093/ajcp/aqy165.
To compare the most common diagnostic/laboratory tests across five different referral hospitals by volume and revenue.
The authors obtained data on volumes and reimbursement rates for the most common 25 tests at the five hospitals with which they are affiliated and organized them to be as comparable as possible. Simple descriptive statistics were used to make cross-country comparisons.
There are strong similarities across all five hospitals in the top five tests by both volume and revenue. However, the top five by volume differ from the top five by revenue. Reimbursement rates also follow common patterns, being lowest for the most common biochemical test; intermediate for the most common hematology and microbiology tests, respectively; and highest for the most common pathology test.
Most of the most common tests also appear in the new Essential Diagnostics List. This may inform plans for universal health coverage.
通过比较五个转诊医院的数量和收入,比较五种不同转诊医院最常见的诊断/实验室检查。
作者获得了与他们有关联的五家医院中最常见的 25 项检查的数量和报销率的数据,并对其进行了组织,使其尽可能具有可比性。采用简单描述性统计方法进行跨国比较。
在所有五个医院中,按数量和收入排名前五位的检查都非常相似。然而,数量排名前五的检查与收入排名前五的检查不同。报销率也遵循共同的模式,最常见的生化检查费用最低;最常见的血液学和微生物学检查分别处于中间水平;最常见的病理学检查费用最高。
最常见的检查中有大多数也出现在新的基本诊断清单中。这可能会为全民健康覆盖计划提供信息。