美国家庭医院:现状和未来前景
Jay A Pandit1, Jeff B Pawelek2, Bruce Leff3
1Scripps Translational Research Institute, Scripps Research, La Jolla, CA, USA. jpandit@scripps.edu.
NPJ digital medicine
|February 27, 2024
概括
家庭医院 (HaH) 在家中提供急性护理,降低成本并改善结果. 尽管技术进步和流行病驱动的采用,广泛实施面临重大挑战.
科学领域:
- 医疗保健提供创新 医疗保健提供创新
- 卫生经济学 卫生经济学
- 医学技术 医学技术 医学技术
背景情况:
- 美国医疗保健成本每年超过1万亿美元,结果比同行国家差.
- 越来越需要具有成本效益,改善结果的护理模式.
- 家庭医院 (HaH) 已成为一个有前途的替代护理模式.
研究的目的:
- 审查有关家庭医院 (HaH) 计划的证据.
- 讨论哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈
- 为了确定广泛采用HAH所必需的因素.
主要方法:
- 对同行评审的证据的系统审查,对HAH计划.
- 分析技术进步,使远程患者护理成为可能.
- 评估COVID-19流行病对HaH采用的影响.
主要成果:
- 在过去二十年中,哈哈在技术进步的支持下取得了显著的进步.
- 由于COVID-19大流行,通过退款豁免加速了HAH的采用.
- 尽管取得了进展,但哈尔仍面临着广泛实施的重大障碍.
结论:
- 哈哈显示了降低成本和改善结果的潜力.
- 克服挑战对于实现哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈哈
- 未来的研究和政策变化是必要的,以促进更广泛的HAH采用.
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