在社区医院网络中识别高成本,高需要的患者
Gabriel Zdrale1,2, Alison Essary2,3, Stephan Bremer4
1Arizona State University, Tempe, AZ, USA.
Journal of primary care & community health
|February 24, 2024
概括
高成本和高需求 (HCHN) 患者的医疗费用显著增加,住院时间更长. 针对HCHN人群的有针对性的干预措施可以降低整体系统支出,提高患者健康结果.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 患者的治疗结果.
背景情况:
- 基于社区的学术健康中心管理着多样化的患者群体.
- 了解医疗保健成本驱动因素对于资源分配至关重要.
- 高成本和高需求 (HCHN) 患者代表了一个重要的支出群体.
研究的目的:
- 分析和比较HCHN患者和HonorHealth的其他患者群体之间的医疗保健成本.
- 确定与HCHN患者更高的医疗保健利用率相关的人口和临床特征.
- 为制定有针对性的干预措施提供信息,以降低成本和改善结果.
主要方法:
- 对患者遭遇的回顾性分析,导致2019年在HonorHealth.com的入院.
- 对HCHN和非HCHN患者的平均医疗费用,住院时间和人口统计因素进行比较.
- 利用国家医学院开发的成本分析框架.
主要成果:
- HCHN患者年龄较大 (71岁与52岁),逗留时间较长 (6.5天与3.0天),平均费用较高 (134,743美元与16,414美元).
- HCHN患者表现出不同的人口特征,包括白人患者和公共保险的更高患病率.
- 每位HCHN患者的平均成本随着年龄组的增加而下降.
结论:
- 患有HCHN的患者对医疗保健系统造成了巨大的财务负担.
- 人口和临床因素显著区分HCHN患者.
- 针对HCHN患者实施有针对性的干预措施有可能降低医疗保健成本并改善健康结果.
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