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在3个不同的背景下实施儿科体重管理计划的成本
Natalie Riva Smith1,2, Meg Simione3,4, Haley Farrar-Muir3
1Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health.
Medical care
|November 9, 2023
概括
实施健康连接的儿科体重管理计划的成本在77,103美元至142,721.21美元之间. 技术设置,临床医生培训和利益相关者参与是这种基于证据的干预措施的关键成本驱动因素.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 儿童肥胖症 儿童肥胖症
背景情况:
- 连接健康计划是一个基于证据的儿科体重管理干预措施.
- 它与国家建议一致,并提供临床决策支持,教育材料和社区资源.
- 实施成本显著影响计划的采用和可持续性,特别是在为高儿童肥胖率的低收入人口提供服务的卫生系统中.
研究的目的:
- 评估三个不同卫生系统的"健康连接"计划的实施成本.
- 确定与服务于弱势群体的环境中项目实施相关的主要成本驱动因素.
主要方法:
- 使用基于活动的时间驱动成本计算 (TDABC) 来评估实施费用.
- 卫生系统制定了所有实施行动的流程图和详细报告.
- 对于每个活动,包括电子健康记录集成和临床医生培训,人员的时间和相关成本都被仔细记录下来.
主要成果:
- 三个卫生系统的整体实施成本各不相同,从77,103美元到142,721.21美元不等.
- 技术设置是主要的成本驱动因素,除了临床医生的培训,利益相关者的参与以及审计/反活动.
- 该计划表明,可以轻松地整合到常规的健康儿童访问中.
结论:
- 实施Connect for Health计划的关键成本驱动因素包括技术设置,培训和利益相关者参与.
- 特定背景因素对实施成本有很大影响.
- 准确的未来实施成本预测需要仔细考虑组织背景和选择的实施策略.
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