小儿胃造口管依赖强化多学科干预后的医疗费用变化。
Changes in Medical Charges Following Intensive Multidisciplinary Intervention for Pediatric Gastrostomy Tube Dependence.
机构信息
From the Comprehensive Pediatric Feeding and Swallowing Program, Nationwide Children's Hospital, The Ohio State University College of Medicine, Columbus, OH.
the Central Ohio Pediatric Behavioral Health, Westerville, OH.
出版信息
J Pediatr Gastroenterol Nutr. 2023 Apr 1;76(4):e77-e80. doi: 10.1097/MPG.0000000000003719. Epub 2023 Jan 31.
OBJECTIVE
Intensive multidisciplinary intervention (IMI) is the most evidence-based approach to treat pediatric feeding disorders. The goal of this exploratory study was to assess changes in health care charges for patients with gastrostomy tube dependence following participation in IMI compared to a waitlist control.
METHODS
Medical charges were assessed for 9 families who participated in IMI compared to 6 control families on a multi-year waitlist for IMI. The IMI and control groups were compared on raw charges submitted as well as individual year-over-year changes in medical charges.
RESULTS
The IMI group decreased health care charges by 71% on average in the year following IMI compared to the control group increasing charges by 22% over the same period.
CONCLUSIONS
IMI also holds potential cost-savings in the year following treatment compared to children who do not receive treatment and adds to previous research focusing on long-term cost effectiveness of IMI.
目的
强化多学科干预（IMI）是治疗儿科喂养障碍最具循证依据的方法。本探索性研究的目的是评估与等待干预的对照组相比，接受 IMI 治疗后依赖胃造口管的患者的医疗费用变化。
方法
对接受 IMI 治疗的 9 个家庭与多年来等待 IMI 治疗的 6 个对照组家庭的医疗费用进行评估。对 IMI 组和对照组的原始费用以及医疗费用的逐年变化进行比较。
结果
与对照组相比，IMI 组在接受 IMI 治疗后的第一年平均医疗费用减少了 71%，而对照组在同一时期的医疗费用增加了 22%。
结论
与未接受治疗的儿童相比，IMI 治疗后一年也具有节省成本的潜力，这增加了之前关于 IMI 长期成本效益的研究。
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