Freichels T
St. Luke's Medical Center, Milwaukee, WI.
J Nurs Adm. 1993 Dec;23(12):16-20. doi: 10.1097/00005110-199312000-00007.
Patients who require prolonged mechanical ventilation consume a disproportionately large share of healthcare resources and represent a significant financial burden for traditional acute care institutions. When these patients are evaluated as a population, trends that may facilitate medical and financial management emerge. This report examines the demographics, cost/reimbursement, and current management of patients who require prolonged mechanical ventilation. Recommendations for potential reduction of costs, revenue producing alternatives, or both in delivering healthcare to this aggregate are also explored.
需要长期机械通气的患者消耗了不成比例的大量医疗资源,给传统的急性医疗机构带来了巨大的经济负担。当把这些患者作为一个群体进行评估时,可能有助于医疗和财务管理的趋势就会显现出来。本报告研究了需要长期机械通气的患者的人口统计学特征、成本/报销情况以及当前的管理方式。还探讨了在为这一群体提供医疗服务时,潜在降低成本、创收替代方案或两者兼而有之的建议。