重新思考条带的成本分析:在初级保健中取消低价值实践的实施
Lisa P Spees1,2, Laura A Young3, Jennifer Rees4
1Department of Health Policy and Management, Gillings School of Global Public Health.
Medical care
|November 9, 2023
概括
在2型糖尿病护理中停止实施例行血糖监测是具有成本效益的. 重新思考地带 (RTS) 计划提供了一种结构化的方法,以减少初级保健机构中低价值的做法.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 初级保健管理管理初级保健管理
- 基于证据的实践实施实施.
背景情况:
- 常规的血糖自我监测 (SMBG) 对不需要胰岛素的2型糖尿病患者提供了有限的临床益处.
- 停止实施低价值护理实践对于优化医疗保健资源配置至关重要.
研究的目的:
- 为了估计与重新思考带 (RTS) 倡议相关的成本,这是一个多策略的方法,旨在在初级保健中消除SMBG的实施.
- 为各种实施策略提供详细的成本数据,以支持基于证据的计划.
主要方法:
- 在北卡罗来纳州的20家初级保健诊所实施了RTS干预.
- 从综合医疗保健系统的角度分析了12个月和27个月的成本.
- 对五个RTS策略的非现场和现场成本使用项目记录和基于活动的成本计算进行了跟踪.
主要成果:
- 总共12个月的RTS成本为68,941美元,非现场成本为16,560美元 (主要用于EHR数据更新).
- 20家诊所的12个月总站点成本为52,381美元 (每家诊所为2569美元).
- 教育会议代表了每个诊所的最高现场成本 (1401美元),而教育材料是最低的 (51美元).
结论:
- 该研究提供了详细的成本数据,用于在初级保健中实施基于证据的计划.
- 了解像RTS这样的撤销策略的成本对于旨在减少低价值护理的医疗保健系统至关重要.
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