在医疗保险负责任的护理组织中,降低成本和利用模式,使用家庭息护理服务
Mark Angelo1,2, Abigail Souder3, Angela Poole2
1Supportive Oncology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Population health management
|November 27, 2023
概括
基于家庭的息护理 (HBPC) 服务显著减少住院和责任护理组织 (ACO) 临终受益人的总成本. 这种方法提高了高需求患者的护理效率和结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 老年学是一门学科.
- 抚慰性护理是一种缓解性护理.
背景情况:
- 负责任的护理组织 (ACO) 旨在提高医疗保健的效率和质量.
- 向急需患者提供资源是ACO成功的关键.
- 家庭息护理 (HBPC) 解决了重病患者的需求,并可以降低成本.
研究的目的:
- 评估HBPC对Medicare受益人生命末期临近的ACO的成本,质量和利用的影响.
主要方法:
- 对3418名医疗保险共享储蓄计划受益人的回顾性审查.
- 接受HBPC治疗的死者与没有接受HBPC治疗的死者之间的比较.
- 分析成本,质量和利用模式.
主要成果:
- 接受HBPC治疗的人在住院治疗的数量减少了51%.
- 在HBPC组中,临终关怀使用率增加 (70%与43%相比).
- 对于HBPC接受者来说,护理总成本显著降低 (27203美元对36089美元).
结论:
- 在接近生命终点的负责任照顾人口中,HBPC与成本和利用率的降低有关.
- 需要进一步的研究来确定驱动这些积极结果的特定护理组件.
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