医疗计划的家庭息护理计划的成本和利用影响
Kimberly A Bower1,2, Jenelle Hallock2, Xiaoli Li2
1Pediatric Palliative Care, Rady Children's Hospital San Diego, San Diego, California, USA.
Journal of palliative medicine
|January 25, 2024
概括
与常规护理相比,家庭息护理 (HBPC) 并没有减少住院治疗或成本. 然而,接受HBPC治疗的患者的寿命更长,或晚些时候过渡到临终关怀.
科学领域:
- 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.
- 老年病的医生 老年病的医生
背景情况:
- 许多重病患者需要在家里得到支持,但不符合临终关怀的条件.
- 家庭息护理 (HBPC) 旨在提供这种支持.
- 需要进一步调查HBPC对医疗保健利用率和成本的影响.
研究的目的:
- 为了比较接受HBPC和接受常规护理的患者之间的医院和急诊室 (ED) 使用率,成本和死亡率.
- 为了评估HBPC在在家治疗重病患者中的有效性.
主要方法:
- 使用健康计划索赔数据进行观察性回顾性研究.
- 基于倾向的匹配算法,将HBPC接受者与匹配的通常护理队列进行比较.
- 在研究期间之前和期间对医院,ED利用率,成本和死亡率的分析.
主要成果:
- 与研究前期相比,HBPC和通常护理组在研究期间的医院和ED利用率和成本都降低了.
- 在研究期间,在HBPC和通常护理组之间没有发现利用率,成本或死亡率的显著差异.
- 接受HBPC治疗的患者在研究期间的平均时间更长,这表明生存率改善或临终关怀过渡延迟.
结论:
- 在重病患者中,HBPC并没有显示急性护理利用率或成本与常规护理相比有所减少.
- 接受HBPC治疗的患者可能会经历长寿改善或以后过渡到临终关怀.
- 需要进一步的研究来了解HBPC的长期益处和最佳实施.
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