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A cost comparison of hospice care in amyotrophic lateral sclerosis and lung cancer.

机译:肌萎缩性侧索硬化症和肺癌的临终关怀护理费用比较。

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摘要

The authors compare the cost of hospice care provided to 25 amyotrophic lateral sclerosis (ALS) patients and 159 lung cancer patients by the Wissahickon Hospice of the University of Pennsylvania. The mean length of stay was 86.7 days for ALS patients and 35.0 days for patients with lung cancer (P = .011). The mean per patient cost was 5622.93 dollars for the ALS patients and 2658.91 dollars for patients with lung cancer (P = .057) The average operating margin excluding administrative costs was 5293.04 dollars for ALS patients and 2126.74 dollars for patients with lung cancer (P = .008). The longer length of stay (LOS) accounts for this difference. Longer LOS can be accomplished by close clinical monitoring of ALS patients for the development of life threatening respiratory and/or nutritional compromise and by liberalizing the present hospice admission guidelines.
机译:作者比较了宾夕法尼亚大学Wissahickon临终关怀医院为25例肌萎缩性侧索硬化症(ALS)患者和159例肺癌患者提供临终关怀的费用。 ALS患者的平均住院时间为86.7天,肺癌患者的平均住院时间为35.0天(P = 0.011)。 ALS患者的平均每位患者费用为5622.93美元,肺癌患者的平均每位患者费用为2658.91美元(P = .057)ALS患者的不包括管理费用的平均营业利润为5293.04美元,肺癌患者的平均为2126.74美元(P = .008)。更长的住宿时间(LOS)造成了这种差异。可以通过对ALS患者进行密切的临床监测以威胁生命的呼吸和/或营养妥协,以及放宽目前的临终关怀指南,来实现更长的LOS。

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