远程监控成本的自下而上的分析:斯洛文尼亚初级保健中的案例研究
Matic Mihevc1,2, Črt Zavrnik1,2, Majda Mori Lukančič1
1Community Health Centre Ljubljana, Primary Healthcare Research and Development Institute, Metelkova ulica 9, 1000 Ljubljana, Slovenia.
Zdravstveno varstvo
|December 29, 2023
概括
对患有高血压和糖尿病的老年患者的远程监测显著降低了自付费用. 这项研究分析了远程监控成本,揭示了初级保健机构患者的潜在节省.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 数字健康数字健康
- 老年医学 老年医学
背景情况:
- 远程监测可以提高患有动脉高血压 (AH) 和2型糖尿病 (T2D) 的患者的临床结果.
- 对这些患者群体的远程监控成本结构分析有限.
- 了解远程监控成本对于其在初级保健领域的扩展至关重要.
研究的目的:
- 探索在初级保健中对老年AH和T2D患者的远程监测的成本结构.
- 确定影响远程监控成本的因素,以实现未来的可扩展性.
- 评估远程监控对患者自付费用的影响.
主要方法:
- 使用自下而上的方法来确定基础设施,运营,患者参与和自付费用.
- 计算了每位患者的费用,考虑了设备,平台,培训,数据审查和远程咨询时间.
- 统计分析包括t测试,曼·惠特尼U测试和奇方测试来比较组.
主要成果:
- 每名患者每年的远程监控成本为489.4欧元 (基础设施) 和97.3欧元 (运营).
- 患者参与成本平均每年为215.6欧元.
- 12个月后,远程监控组的自付费用显著降低 (132欧元相对于545欧元,p<0.001).
结论:
- 远程监测为老年AH和T2D患者的管理提供了具有成本效益的解决方案.
- 减少自费支出与减少对食品,补充剂,医疗设备和专家访问的支出有关.
- 优化远程监控成本可能涉及更短的持续时间,国家平台,患者拥有的设备,人工智能集成和护士执业人员协调.
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