在不列颠哥伦比亚省评估了NP主导与GP主导的初级保健的成本
Damien Contandriopoulos1, Katherine Bertoni1, Rita McCracken2
1University of Victoria, Victoria, British Columbia, Canada.
Healthcare management forum
|January 31, 2024
概括
英国哥伦比亚省是不列颠哥伦比亚省.
科学领域:
- 卫生经济学 卫生经济学
- 主要护理政策 基本护理政策
- 护理实践 护理实践
背景情况:
- 英国哥伦比亚省 (BC) 在2020年建立了试点护士执业者初级保健诊所 (NP-PCCs),以提高初级保健的准入.
- 在不列颠哥伦比亚省,医生主导的初级保健模式包括收费服务 (FFS) 和纵向家庭医生 (LFP) 模式.
研究的目的:
- 进行经济评估,比较NP-PCC中执业护士 (NP) 提供的护理成本.
- 将NP-PCC成本与医生根据FFS和LFP模型提供的同等护理的估计成本进行比较.
主要方法:
- 使用了行政数据,主要来自医疗服务计划 (MSP) 和慢性疾病注册表 (CDR).
- 通过BC的健康数据平台访问数据进行全面分析.
主要成果:
- 在NP-PCC中由NP提供护理的费用略低于LFP模式下医生提供的护理.
- NP-PCC模型证明了提供初级保健服务的成本效益.
结论:
- NP-PCC模型是提高BC初级保健可及性的有效策略.
- 根据经济评估结果,建议在全省范围内扩展NP-PCC模型.
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