了解医疗保健相关感染的经济影响：成本视角分析
Understanding the Economic Impact of Health Care-Associated Infections: A Cost Perspective Analysis.
作者信息
Scott R Douglas, Culler Steven D, Rask Kimberly J
机构信息
Centers for Disease Control and Prevention, Atlanta, Georgia (Dr Scott); and Emory University, Atlanta, Georgia (Drs Culler and Rask). R. Douglas Scott II, PhD, is an economist for the Division of Healthcare Quality Promotion at the Centers for Disease Control and Prevention. His research focuses on the use of prevention effectiveness methods and regulatory impact analyses to evaluate programs to prevent health care-associated infections and improve patient safety. Steven D. Culler, PhD, is a health economist at the Rollins School of Public Health at Emory University. He has published numerous peer-reviewed articles explaining the variation in the use of health care services, estimating the incremental cost of treating selected adverse events, and performing cost-effectiveness studies. Kimberly J. Rask, MD, PhD, is a primary care physician and health economist, holding joint appointments in health policy and management and medicine at Emory University. Her publications focus on primary care practice, quality improvement, and outcomes measurement. She also serves on national expert panels on value-based purchasing programs and quality measurement.
出版信息
J Infus Nurs. 2019 Mar/Apr;42(2):61-69. doi: 10.1097/NAN.0000000000000313.
The economic impacts from preventing health care-associated infections (HAIs) can differ for patients, health care providers, third-party payers, and all of society. Previous studies from the provider perspective have estimated an economic burden of approximately $10 billion annually for HAIs. The impact of using a societal cost perspective has been illustrated by modifying a previously published analysis to include the economic value of mortality risk reductions. The resulting costs to society from HAIs exceed $200 billion annually. This article describes an alternative hospital accounting framework outlining the cost of a quality model which can better incorporate the broader societal cost of HAIs into the provider perspective.
预防医疗保健相关感染（HAIs）对患者、医疗保健提供者、第三方支付者以及整个社会的经济影响可能有所不同。以往从提供者角度进行的研究估计，HAIs每年造成的经济负担约为100亿美元。通过修改先前发表的分析以纳入降低死亡风险的经济价值，说明了采用社会成本视角的影响。HAIs给社会带来的成本每年超过2000亿美元。本文描述了一种替代的医院会计框架，概述了一种质量模型的成本，该模型可以更好地将HAIs更广泛的社会成本纳入提供者视角。
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