COVID-19对特定医院的早期影响:运营,护理提供和服务利用
Lisa R Shugarman1, Lindsay McMillan2, Hayley Mitchell1
1The Lewin Group, Falls Church, VA, USA.
Journal of palliative care
|July 14, 2023
概括
COVID-19公共卫生紧急情况 (PHE) 影响了宿舍护理的提供,导致医疗保险选择模型 (MCCM) 中医疗保险受益人的运营变化和减少服务. 需要进一步的研究来确定这些变化是由提供者还是受益者驱动的.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 老年学是一门学科.
背景情况:
- COVID-19公共卫生紧急情况 (PHE) 显著改变了医疗保健的提供.
- 对社区托儿所提供者和符合条件的受益人服务的影响尚不清楚.
- 医疗保险和医疗补助服务中心 (CMS) 医疗保险选择模型 (MCCM) 测试了严重病患,社区居民受益人的支持服务.
研究的目的:
- 描述宿舍提供者对COVID-19 PHE的反应.
- 分析PHE对受益人接受MCCM内的宿舍支持服务的影响.
- 了解PHE期间服务提供和利用的变化.
主要方法:
- 使用混合方法 (定性和定量数据) 进行描述性分析.
- 数据来源包括提供者调查,受益者遭遇数据和医疗保险行政索赔.
- 样本包括82个宿舍提供者和2,294个受益者在MCCM.
主要成果:
- 大多数参与的MCCM临床医院在PHE期间实施了安全的运营变化.
- 观察到的服务交付变化包括总接触数的减少和服务模式的转变.
- 数据显示,提供服务的类型和频率有所下降.
结论:
- 在MCCM中,严重患病的医疗保险受益人被PHE明显影响.
- 关于观察到的服务交付变化是否源于宿舍提供者的行动或受益者选择以尽量减少暴露,仍然存在不确定性.
- 未来的研究应该旨在区分服务模式和遭遇的变化背后的驱动因素.
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