远程医疗对医疗支出和医疗保健利用的影响:一种机器学习方法
1Arthur J. Bauernfeind College of Business, Department of Economics and Finance, Murray State University Murray, Kentucky.
AJPM focus
|October 4, 2023
概括
远程医疗的使用增加了慢性精神疾病患者的门诊访问,但没有显著改变医疗支出或紧急护理需求. 这影响了心理健康状况的医疗保健利用率.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 心理健康服务 心理健康服务
背景情况:
- 慢性精神疾病对医疗保健的利用和支出提出了重大挑战.
- 远程医疗已经成为改善医疗保健提供机会和效率的潜在解决方案.
研究的目的:
- 分析远程医疗采用对慢性精神疾病患者医疗保健利用和医疗支出的影响.
- 评估与远程医疗相关的门诊访问,面对面咨询,急诊室使用和住院的变化.
主要方法:
- 使用IBM MarketScan研究数据库 (2009-2018) 来获取患者数据.
- 采用随机森林和随机森林近距离匹配,以确定可比的用户和非用户群体.
- 应用差异差异方法来评估远程医疗对医疗保健结果的影响.
主要成果:
- 远程医疗的使用与整体门诊访问的显著增加有关,特别是心理治疗和评估/管理服务.
- 在远程医疗用户中观察到,面对面访问的数量显著下降.
- 没有发现对总医疗支出,急诊室访问或住院住院的重大影响.
结论:
- 远程医疗有效地增加了慢性精神疾病患者的门诊护理利用率.
- 目前的证据表明,远程医疗对这一群体的整体医疗支出或急症治疗利用率没有实质性的影响.
- 研究结果为未来远程医疗政策制定和心理健康护理干预策略提供了宝贵的见解.
相关概念视频
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
Health Information Technology and Healthcare Information System
867
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
867
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Methods of Documentation VI: Case Management Model
592
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
592
Steps in Outbreak Investigation
152
In the ever-evolving field of public health, statistical analysis serves as a cornerstone for understanding and managing disease outbreaks. By leveraging various statistical tools, health professionals can predict potential outbreaks, analyze ongoing situations, and devise effective responses to mitigate impact. For that to happen, there are a few possible stages of the analysis:
152


