在社区精神卫生机构中实施移动健康的成本:外部与内部促进
Carol E Levin1, Justin Tauscher1, Suzanne Meller1
1Department of Global Health (Levin) and Department of Psychiatry and Behavioral Sciences (Tauscher, Brian, Buck, Ben-Zeev), University of Washington, Seattle; Little Otter Health, San Francisco (Meller).
社区精神卫生中心的移动健康 (mHealth) 外部便利化 (EF) 导致了更多的用户和比内部便利化 (IF) 相同或更低的成本. 这项研究比较了FOCUS mHealth干预的两个实施模型.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 数字健康实施方案
背景情况:
- 社区精神卫生机构在采用移动健康 (mHealth) 干预措施方面面临着挑战.
- 现有两个主要的实施模式:外部便利化 (EF) 和内部便利化 (IF).
- 了解这些模型的成本效益对于广泛采用至关重要.
研究的目的:
- 为了比较EF和IF的财务和经济成本,针对FOCUS mHealth干预的实施模型.
- 根据每个模型,评估每个成功参与mHealth服务的客户的成本.
- 评估实施模式对用户参与和成本效益的影响.
主要方法:
- 进行了混合型3有效性-实施试验.
- 混合方法方法采用自上而下的支出分析和微成本.
- 在20个中心中比较增量成本和客户参与成本 (N=210).
主要成果:
- 每个地点的平均年度财务成本为EF的23,517美元,而IF的19,118美元.
- 根据EF模型,每个客户的平均月度财务成本较低 (EF为167美元,IF为177美元).
- 经济成本显示EF为每月73美元/客户,IF为每月59美元/客户,这两种模式的成本比以前的部署减少了50%左右.
结论:
- 外部便利化 (EF) 模式成功地吸引了更多的客户在社区心理健康中心的mHealth服务中.
- 与内部便利化 (IF) 模型相比,EF证明了可比或更低的成本.
- 移动健康 (EF) 是在这些环境中实施移动健康干预措施的可行和潜在的更具成本效益的战略.
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