在基于价值的模型中,医疗保险患者的初级护理主导的综合息护理的影响
Karthik Rao1, Nathan E Goldstein2, Deborah N Peikes3
1agilon health (K.R., B.K.), Boston, Massachusetts, USA.
Journal of pain and symptom management
|November 16, 2023
概括
一个以初级保健为主导的息护理模式改善了患者的治疗结果,并降低了医疗保健成本. 这种可扩展的解决方案满足了面临医生短缺的老龄化人口的需求.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 抚慰性护理是一种缓解性护理.
背景情况:
- 预计专业化息护理医生的短缺需要为老龄化人口提供可扩展的解决方案.
- 越来越需要综合护理模型来改善患者的治疗结果和管理医疗保健成本.
研究的目的:
- 评估一个多地点,初级保健主导的,综合性息治疗模式.
- 确定模型对临床,利用和经济结果的影响.
主要方法:
- 一个倾向分数匹配的比较,对2021年1月至2023年1月期间死亡的医疗保险受益人进行比较.
- 包括八个以价值为基础的全风险模型运行的初级保健实践.
- 息护理服务包括症状管理,护理目标,护理协调和过渡援助.
主要成果:
- 息治疗与在家停留的时间增加了5.4天 (p < 0.001).
- 观察到住院病例减少 (0.4 减少,p < 0.001) 和住院死亡减少 (17%减少,p < 0.001).
- 整体医疗保健费用减少了10,393美元 (p < 0.001).
结论:
- 在全风险框架内,以初级保健为主导的综合性息治疗模式是有效的.
- 该模型通过改善结果和降低生命终端成本来满足老龄化人口的医疗保健需求.
- 在规模化,全风险模型中的初级保健提供者可以提高患者护理,同时降低系统成本.
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