Vilalta Adrian, Troeger Kathleen A
Market Access Department, Hologic, Inc., San Diego, CA, USA.
Market Access Department, Hologic, Inc., Marlborough, MA, USA.
Clinicoecon Outcomes Res. 2020 Jun 22;12:327-332. doi: 10.2147/CEOR.S257390. eCollection 2020.
This study evaluated patterns of utilization and costs of emergency transport among women with a diagnosis of preterm labor in the US.
The IBM Treatment Pathways tool was used to interrogate a cohort randomly selected from the IBM's MarketScan dataset. Differences in costs and utilization patterns were assessed by the type of emergency transport service and geography.
A cohort of 12,995 women between the ages of 16 and 45 met the inclusion criteria. About 1,029 (7.9%) of these women had evidence of emergency transport within a day of the preterm labor diagnosis. In this cohort, the median cost of emergency ground transportation was US$834; air transport had a median cost of US$22,922. Additionally, 3.1% (284) women out of a cohort of 8,728 women ages of 16 and 45 with a diagnosis of false labor required emergency transport within 7 days suggesting that they were discharged too soon.
The prevalence of emergency transport for preterm labor in rural areas is significantly higher compared to non-rural areas. In addition, the disproportionate use of air transport in rural areas increases the costs of the preterm labor event. Moreover, disparities in both utilization rates and costs were identified for different parts of the country.
本研究评估了美国诊断为早产的女性的紧急运输使用模式和成本。
使用IBM治疗路径工具对从IBM市场扫描数据集中随机选取的队列进行调查。通过紧急运输服务类型和地理位置评估成本和使用模式的差异。
12995名年龄在16至45岁之间的女性符合纳入标准。其中约1029名（7.9%）女性在早产诊断后一天内有紧急运输的记录。在这个队列中，紧急地面运输的中位数成本为834美元；空中运输的中位数成本为22922美元。此外，在8728名年龄在16至45岁之间诊断为假临产的女性队列中，3.1%（284名）女性在7天内需要紧急运输，这表明她们出院过早。
与非农村地区相比，农村地区早产紧急运输的患病率显著更高。此外，农村地区空中运输的过度使用增加了早产事件的成本。此外，该国不同地区在使用率和成本方面都存在差异。
