基于价值的支付以支持智力和发育障碍的年轻成年人的医疗保健过渡:可行性研究
Margaret McManus1, Patience White1, Nathaniel Beers2
1The National Alliance to Advance Adolescent Health, 5335 Wisconsin Ave. NW, Suite 440, Washington, DC, 20015, USA.
Maternal and child health journal
|November 12, 2023
概括
一个试点项目使用基于价值的支付来为智力和发育残疾 (ID/DD) 的年轻人做好医疗保健转型 (HCT) 准备,显示了高度满意度,并确定了需要改进的关键领域,如护理管理支持.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健过渡期 医疗保健过渡期
- 智力和发育障碍 智力和发育障碍
背景情况:
- 对于智力和发育障碍 (ID/DD) 的年轻人来说,有限的医疗保健过渡 (HCT) 准备 (20%).
- 为了解决系统缺陷,实施了一项新的HCT基于价值的支付 (VBP) 试点项目.
研究的目的:
- 评估针对ID/DD的年轻成年人 (YA) 的HCT VBP试点的可行性,可接受性和扩展潜力.
- 在特种医疗补助管理护理环境中确定VBP模型的好处和挑战.
主要方法:
- 在医疗补助管理护理组织 (HSCSN) 进行的可行性研究.
- 干预包括一个结构化的HCT过程与VBP激励.
- 通过YA反调查和与利益相关方的采访收集的数据.
主要成果:
- 年轻人报告的高满意度与ID/DD,护理人员和医疗保健提供者 (HCP).
- 益处包括改善患者参与和护理管理;挑战涉及护理管理支持和安排.
- 有9个具有ID/DD的YA参与了试点.
结论:
- HCT VBP 方法是可行的和可接受的,它解决了一个尚未满足的需求.
- 精简的护理管理,医疗摘要准备和充足的支付对于扩张至关重要.
- 未来的扩张需要付款人/医疗人员的协作和改进的系统技术.
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