Simonson H C, Pelberg A L
Arizona Physicians IPA, Inc., Phoenix, AZ.
Am J Med Qual. 1993 Summer;8(2):53-5. doi: 10.1177/0885713X9300800205.
Every source quoted in this study has clearly refuted the need for emergency transport and care of an uncomplicated grand mal seizure in a managed epileptic patient. This review of a large patient population has determined that 27% of emergency department seizures were uncomplicated and occurred in patients already under care. This represented 0.25% of all emergency department visits and nearly $200,000 in claims to this managed care entity per year. Taking some statistical liberties, a national health care expenditure of $270,000,000 is suggested for this single abuse. It is hoped that further education of the public, medical community, and epileptic patients will produce a comfort level that permits decisions about emergency transport and care of seizures. These savings could translate into basic health insurance for thousands of our medically deprived citizens.
本研究引用的每一个资料来源都明确驳斥了对已接受治疗的癫痫患者的单纯性强直阵挛发作进行紧急转运和护理的必要性。对大量患者群体的这项评估确定，急诊科发作的27%为单纯性发作，且发生在已接受护理的患者身上。这占所有急诊科就诊病例的0.25%，每年向这个管理式医疗实体提出的索赔近20万美元。略微进行一些统计推算，这种单一滥用行为建议的全国医疗保健支出为2.7亿美元。希望对公众、医学界和癫痫患者进行进一步教育能够产生一种舒适感，从而允许对癫痫发作的紧急转运和护理做出决策。这些节省下来的资金可以转化为数千名医疗贫困公民的基本医疗保险。
