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简化计费表和 SARS-CoV-2 大流行对澳大利亚大都市急诊部门可补偿计费的影响:一项中断时间序列分析。

Effect of a simplified billing form and the SARS-CoV-2 pandemic on compensable billings in an Australian metropolitan emergency department: An interrupted time series analysis.

机构信息

Department of Emergency Medicine, Monash Medical Centre, Melbourne, Victoria, Australia.

School of Clinical Sciences at Monash Health, Monash University, Melbourne, Victoria, Australia.

出版信息

Emerg Med Australas. 2022 Aug;34(4):632-635. doi: 10.1111/1742-6723.14015. Epub 2022 May 18.

DOI:10.1111/1742-6723.14015
PMID:35527360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9347994/
Abstract

OBJECTIVE

To evaluate the effect of a simplified billing form on billings recovery.

METHODS

An interrupted time series analysis of weekly presentations and billings between 1 April 2019 and 14 June 2020.

RESULTS

Notably, 3228 patients were included (2030 Overseas Visitor Agreement, 359 Transport Accident Commission and 839 Work Cover). There was a $208.34 (95% CI 155.44-261.23, P < 0.0001) increase in billings per episode, that is, 59% (95% CI 44-74, P < 0.0001), from a baseline of $351.75/episode. There was no significant change in the actual billing rate during the pandemic.

CONCLUSION

Total billings did not change. Less patients were identified, but each generated 59% more billings.

摘要

目的

评估简化计费表对账单回收的影响。

方法

对 2019 年 4 月 1 日至 2020 年 6 月 14 日期间每周的就诊和账单进行中断时间序列分析。

结果

共纳入 3228 例患者(2030 例海外游客协议、359 例运输事故委员会和 839 例工作赔偿)。每个病例的账单增加了 208.34 美元(95%CI 155.44-261.23,P<0.0001),即增加了 59%(95%CI 44-74,P<0.0001),基线为 351.75 美元/例。大流行期间实际计费率没有显著变化。

结论

总账单没有变化。被识别的患者较少,但每个患者的账单增加了 59%。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d01d/9347994/922eaaa97b73/EMM-34-632-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d01d/9347994/922eaaa97b73/EMM-34-632-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d01d/9347994/922eaaa97b73/EMM-34-632-g001.jpg

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Interrupted time series regression for the evaluation of public health interventions: a tutorial.
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