整个生命周期的发病率模式:人口细分框架,用于对所有年龄段的医疗保健需求进行分类
Klaus W Lemke1,2, Christopher B Forrest3, Bruce A Leff4
1Center for Population Health Informatics, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD.
Medical care
|November 14, 2023
概括
一个新的患者需求组 (PNGs) 框架将个人根据健康需求划分为11个类别. 这种方法提供了临床相关的分组,并识别了高风险患者,以更好地管理护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 人口健康管理 人口健康管理
- 医疗信息学 医疗信息学
背景情况:
- 有效的患者细分对于护理管理和人口分析至关重要.
- 现有的系统往往难以平衡行政简单性与临床相关性和精确性.
- 需要一个普遍适用的细分框架.
研究的目的:
- 引入和应用一种新的,临床相关的人口细分框架,称为患者需求组 (PNG).
- 该框架旨在适用于所有缴纳者和所有年龄组,并在整个生命周期内适用.
- 这项研究旨在经验验证该框架的实用性.
主要方法:
- 对大型保险索赔数据库 (商业,医疗补助,医疗保险) 的横截面分析.
- 开发"患者需求组" (PNG) 框架,将个人分为相互排斥的11个基于需求的类别.
- 记录每个PNG的临床和资源终点,包括医疗保健利用率,紧急访问,住院治疗,行为健康和社会需求.
主要成果:
- 11个PNG类别涵盖了各种各样的健康需求,从非使用者到脆弱,包括多病症和怀孕的特定群体.
- 每个PNG在整个寿命中都表现出不同的与年龄相关的轨迹.
- 显著的比例 (29%-62%) 的高复杂性怀孕,高复杂性多病症和脆弱的PNG患者被确定为未来医疗保健利用的高风险.
结论:
- 患者需求组 (PNGs) 框架为人口细分提供了一个全面的测量工具.
- 它有效地利用电子健康记录数据,根据其特定的健康需求,根据各个年龄段的个体进行表征.
- 这种方法支持改善护理管理和人口健康分析.
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