参与医疗保险先进的初级保健模式和提供高价值服务
Fang He1, Angela Gasdaska2, Lindsay White3
1RTI International, Research Triangle Park, North Carolina, USA.
Health services research
|August 9, 2023
概括
参与综合初级保健加计划 (CPC +) 增加了年度健康检查 (AWV) 和流感疫苗的交付. 然而,CPC+并没有显著影响预先的护理计划,戒烟咨询或抑郁症查.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理医学 医疗保健
- 医疗保健政策 医疗保健政策
背景情况:
- 全面初级保健加计划 (CPC+) 旨在加强初级保健提供.
- 评估这些举措对高价值服务提供的影响对于改善医疗保健质量至关重要.
- 了解哪些服务受到参与护理协调计划的影响至关重要.
研究的目的:
- 确定初级保健提供者参与CPC+倡议是否与其提供高价值医疗保健服务的变化相关.
- 评估CPC+参与与特定预防和咨询服务的交付率之间的关联.
主要方法:
- 使用差异差异方法与倾向得分匹配.
- 分析了 2013-2019 年的医疗保险服务费用 (FFS) 索赔数据.
- 检查了提供年度健康访问 (AWV),预先护理计划 (ACP),流感疫苗,戒烟咨询和抑郁症查的可能性和频率.
主要成果:
- 参与CPC+与交付AWV的可能性和数量显著增加有关.
- 观察到,每1000名受益人中接种流感疫苗的数量显著增加.
- 没有发现CPC+参与与提供ACP服务,戒烟咨询或抑郁症查之间存在一致的关联.
结论:
- 参与CPC+显示出与每年健康检查和流感疫苗接种量增加的积极关联.
- 该倡议没有对其他检查的高价值服务产生一致的影响,包括事先的护理计划,烟草使用咨询和抑郁症查.
- 可能需要进一步的研究来了解影响在护理协调计划中的所有高价值服务采用的因素.
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