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雇主视角下异常子宫出血的手术治疗成本比较。

Employer-perspective cost comparison of surgical treatments for abnormal uterine bleeding.

机构信息

IBM Watson Health, 75 Binney Street, Cambridge, MA 02142, USA.

Hologic, Inc., 250 Campus Drive, Marlborough, MA 01752, USA.

出版信息

J Comp Eff Res. 2020 Jan;9(1):67-77. doi: 10.2217/cer-2019-0102. Epub 2019 Nov 27.

DOI:10.2217/cer-2019-0102
PMID:31773992
Abstract

To estimate direct and indirect costs of surgical treatment of abnormal uterine bleeding (AUB) from a self-insured employer's perspective. Employer-sponsored insurance claims data were analyzed to estimate costs owing to absence and short-term disability 1 year following global endometrial ablation (GEA), outpatient hysterectomy (OPH) and inpatient hysterectomy (IPH). Costs for women who had GEA are substantially less than costs for women who had either OPH or IPH, with the difference ranging from approximately $7700 to approximately $10,000 for direct costs and approximately $4200 to approximately $4600 for indirect costs. Women who had GEA missed 21.8-24.0 fewer works days. Study results suggest lower healthcare costs associated with GEA versus OPH or IPH from a self-insured employer perspective.

摘要

从自付费雇主的角度估算治疗子宫异常出血(AUB)的手术治疗的直接和间接成本。分析雇主赞助的保险索赔数据,以估算全球子宫内膜消融术(GEA)、门诊子宫切除术(OPH)和住院子宫切除术(IPH)后 1 年缺勤和短期残疾的费用。接受 GEA 的女性的成本明显低于接受 OPH 或 IPH 的女性的成本,直接成本的差异约为 7700 美元至 10000 美元,间接成本的差异约为 4200 美元至 4600 美元。接受 GEA 的女性缺勤 21.8-24.0 个工作日。研究结果表明,从自付费雇主的角度来看,GEA 与 OPH 或 IPH 相比,医疗保健成本更低。

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