通过一项多学科的家庭基础初级保健计划,解决残疾老年人的医疗利用和医疗费用问题
Tasha Woodall1, Amy Russell1, Casey Tak2
1From the Department of Family Medicine, Department of Pharmacotherapy, Mountain Area Health Education Center, Biltmore Forest, NC (TW); Mission Health Partners, Department of Family Medicine, Mountain Area Health Education Center, Biltmore Forest, NC (AR); Department of Pharmacotherapy, College of Pharmacy, University of Utah, Salt Lake City, UT (CT); Department of Family Medicine, Department of Geriatrics, Mountain Area Health Education Center, Biltmore Forest, NC (WM).
这项研究表明,将临床药剂师整合到老年人的家庭初级保健 (HBPC) 中,减少了急诊室的访问和住院. 增强的HBPC计划还显著降低了回家患者的整体医疗保健成本.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 药物经济学 药物经济学
背景情况:
- 家庭基础初级保健 (HBPC) 对于管理长期疾病的关键在于家庭或行动障碍的老年人.
- 整合临床药剂师和社区老龄化服务可以提高HBPC的有效性.
- 评估这些综合计划对于改善老年护理和减少医疗负担至关重要.
研究的目的:
- 实施和评估一个综合的HBPC计划,结合临床药剂师和社区老龄化服务.
- 确定这个集成的HBPC模型对医疗保健利用率和成本的影响.
主要方法:
- 在一项涉及老年人 (50+) 的HBPC计划上进行了单臂前后分析.
- 该研究检查了医疗保健访问,急诊室 (ED) 使用,住院和计划入学前后费用的变化.
- 用费舍尔的精确测试来分析观察到的差异的意义.
主要成果:
- 综合HBPC计划为62名患者提供了130次家庭访问.
- 报名后,出现了减少急救诊所 (12.9%对21.0%) 和住院治疗 (14.5%对19.4%) 的趋势.
- 平均每个会员每月的医疗保健费用从注册前的3053.21美元大幅下降到注册后的1567.96美元.
结论:
- 涉及药剂师和社区机构的综合HBPC计划可以在社区环境中成功实施.
- 该模型表明,高成本医疗保健利用率和整体医疗保健支出减少.
- 这些发现支持跨学科HBPC模型的价值,以改善弱势老年人群的护理和管理成本.
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