门诊护理的碎片化和医疗保健总成本
Lisa M Kern1, Joanna B Ringel1, Mangala Rajan1
1Department of Medicine, Weill Cornell Medicine, New York, NY.
Medical care
|March 8, 2024
概括
非常分散的门诊护理与医疗保健成本的增加有关. 这项研究发现,一年的分散护理导致后一年的医疗保险总支出显著增加.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 医疗信息学 医疗信息学
背景情况:
- 门诊护理分散对医疗保健总成本的影响尚不清楚.
- 了解这种关系对于医疗保健成本控制策略至关重要.
研究的目的:
- 确定门诊护理碎片化与医疗保健总成本之间的关联.
- 研究如何分散的护理影响后续的医疗保健支出.
主要方法:
- 从国家中风地理和种族差异原因 (REGARDS) 研究中对15年 (2004-2018) 的数据进行了纵向分析.
- 包括13,680名医疗保险受益者 (≥65岁) 与医疗保险服务费索赔相关.
- 使用反向的Bice-Boxerman指数 (高碎片化≥0.85) 和通用线性模型来评估成本关联,测量门诊护理的碎片化.
主要成果:
- 在26%的参与者中观察到高度的门诊护理碎片化.
- 与那些碎片化程度较低的参与者相比,碎片化程度较高的参与者有更多的提供者和较少的护理连续性.
- 高度分散与每人调整后的医疗保险年度费用平均增加1085美元有关.
结论:
- 高度分散的门诊护理是第二年医疗保健总成本增加的独立预测因素.
- 这些发现凸显了医疗保险系统内医疗保健分散的财务影响.
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