在减肥生活方式干预后,医疗保健利用的变化
Sylvia E K Sudat1, Qiwen Huang2, Nina Szwerinski2
1Sutter Health, Center for Health Systems Research, Walnut Creek, California.
American journal of preventive medicine
|October 31, 2023
概括
与非参与者相比,生活方式改变计划 (LCP) 在参与者中增加了门诊医疗保健的使用,包括专科和紧急护理访问. 需要进一步的研究来确定这是否反映了预防性护理的增加.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 预防医学 预防医学
- 生活方式干预措施 生活方式干预
背景情况:
- 生活方式改变计划 (LCP) 旨在通过改变行为来改善健康结果.
- 了解LCP对医疗保健利用的影响对于资源配置和政策制定至关重要.
研究的目的:
- 评估LCP对大型卫生系统医疗保健利用的现实影响.
- 为了比较LCP参与者和匹配的非参与者之间的医疗保健利用模式.
主要方法:
- 来自大型卫生系统的电子健康记录数据的回顾性分析.
- 倾向性得分匹配用于比较LCP参与者 (2010-2017) 与非参与者 (1:1比).
- 在参与后的第二年评估了医疗保健的利用,包括门诊诊和治疗心脏代谢疾病和肥胖症的药物.
主要成果:
- 与匹配的非参与者相比,LCP参与者增加了专科护理访问 (+4.7%),电子通信 (+8.6%) 和紧急护理访问 (+6.5%).
- 参与者还因心脏代谢状况和肥胖症进行了更多的办公室访问 (+1.72次访问/患者).
结论:
- 临床治疗师的参与与更高的门诊服务利用率有关.
- 这些发现表明预防性护理的潜在增加,需要进一步调查长期健康结果.
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