国家行为体重管理计划与退伍军人事务健康支出之间的关联
Valerie A Smith1,2,3, Karen M Stechuchak1, Edwin S Wong4,5
1Center of Innovation to Accelerate Discovery and Practice Transformation, Durham VA Health Care System, Durham, NC.
Medical care
|March 8, 2024
概括
参与退伍军人事务 (VA) 行动! 减肥计划并没有为参与者带来显著的短期医疗费用节省,只观察到支出中的小幅,暂时的减少.
科学领域:
- 卫生经济学 卫生经济学
- 行为干预措施 行为干预
- 肥胖管理 肥胖管理
背景情况:
- 行为减肥计划对医疗保健支出的财务影响尚不清楚.
- 退伍军人事务部 (VA) 在行动! 该计划是一项针对体重管理的大规模行为干预.
研究的目的:
- 评估参与VA的MOVE!之间的关联. 行为减肥计划和医疗保健支出.
- 为了比较MOVE!的医疗保健支出! 参与者与匹配的非参与者.
主要方法:
- 几乎50万人的回顾性队列研究移动! 参与者和超过130万匹配的比较者.
- 对2年前和2年后的VA支出进行分析!移动! 项目启动. 程序启动.
- 用于建模医疗保健成本的概括估计方程.
主要成果:
- 移动!移动!移动!移动!移动!移动! 参与者和对比者在人口统计和基线特征上很好地匹配.
- 总的VA支出在MOVE!的统计上较低. 参与者在启动后的6个月.
- 对于MOVE!来说,支出略高一些. 参与者在启动后6个月至2年之间,大小差异很小 (1.0%-1.6%).
结论:
- 弗吉尼亚州的全系统行为权重干预并没有为参与者带来显著的短期医疗费用节省.
- 移动的财务影响! 在观察到的短期期间,医疗保健支出的计划是最小的.
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