远程医疗检查设备的分发与远程医疗使用的增加有关
Yasin Civelek1, Allison Oakes1, Michael Robinson1
1Enterprise Analytics Core, Elevance Health Inc., Wilmington, Delaware, USA.
概括
远程患者监控设备增加了远程医疗访问,但没有增加医疗保健成本. 这项技术可以提高远程护理的准入,特别是对于有幼儿的家庭,而无需大幅增加支出.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 医疗保健经济学 医疗经济学
背景情况:
- COVID-19大流行刺激了远程医疗的广泛采用,需要对其对医疗保健质量和成本的影响进行评估.
- 远程患者监测 (RPM) 对医疗保健利用和支出的长期影响需要进一步研究.
- 了解远程医疗的经济影响对于可持续的医疗保健模式至关重要.
研究的目的:
- 评估远程患者监控设备对医疗保健利用和支出的影响.
- 为了确定RPM技术是否会影响远程医疗与面对面门诊诊所的频率.
- 为了确定与RPM实施相关的潜在的成本节约效益或增加的支出.
主要方法:
- 分析了一项试点项目,涉及三个州的2880个家庭 (6,731名成员).
- 使用行政索赔数据,将参与家庭与匹配的对照组进行比较.
- 一个准实验性设计比较了干预后期 (6个月) 的利用率和支出.
主要成果:
- 参与者显示,远程医疗访问的统计显著增加 (每个成员0.19,p=0.03).
- 观察到非显着减少了亲临门诊的次数 (每个成员0.19,p=0.08).
- 两组之间在门诊诊所的总数,急诊室的总数或总体支出方面没有发现显著差异.
- 亚组分析表明,小孩家庭的连续远程医疗和面对面访问显著减少 (p<0.05).
结论:
- 远程患者监控设备可以增加远程医疗的使用,而不会导致整体医疗保健成本相应增加.
- RPM技术显示出优化护理途径的潜力,特别是针对幼儿家庭等特定的人口统计数据.
- 需要进一步的研究来探索RPM对医疗保健质量和长期成本效益的更广泛影响.
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