基于价值观的护理协调政策后,发育障碍儿童的医疗保健利用差异
Li Huang, Jarron M Saint Onge1
1Department of Population Health, University of Kansas Medical Center, Kansas City, Kansas.
概括
基于价值的护理协调政策增加了发育障碍儿童的低成本医疗保健使用率. 这种方法增加了门诊和家庭护理,而没有增加急诊或住院治疗,显示了它的有效性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 儿科医疗保健 儿科医疗保健
- 卫生政策 卫生政策
背景情况:
- 美国各州越来越多地采用基于价值的护理协调计划,以管理医疗保健支出和改善初级保健.
- 发展障碍 (DD) 的儿童在医疗保健系统中代表了高需要,高成本的人口.
研究的目的:
- 评估以价值为基础的护理协调政策对发展障碍儿童 (DDs) 医疗保健利用的影响.
- 评估政策通过后门诊访问,家庭提供者日,急诊室 (ED) 访问和住院住院的变化.
主要方法:
- 使用2002-2018年医疗支出小组调查数据进行的回顾性研究.
- 包括9,109名患有DDS的儿童.
- 采用中断时间序列设计来比较"负担得起的医疗法案" (ACA) 政策时期前后.
主要成果:
- 在低成本护理中观察到的统计学上显著的增长:门诊诊 (+5%) 和家庭提供者日 (+11%).
- 患者住院的夜晚数量显著增加 (+4%),但ED或住院访问数量没有变化.
- 该研究发现了人口统计学的变化,包括西班牙裔和多种族儿童的代表性增加,以及公共保险或来自低收入家庭的比例增加.
结论:
- 护理协调计划与DDS儿童使用低成本服务的增加有关,而不会增加高成本的护理.
- 对这些计划的持续支持至关重要,需要解决护理过渡的障碍,并承认不断变化的患者人口统计.
- 研究结果为有效的医疗保健管理策略提供了洞察力,在COVID-19后家庭护理增加的背景下尤其重要.
更多相关视频
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
6.6K
09:18Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy
Published on: January 12, 2019
10.4K
相关概念视频
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:30Specialized Care Centers and Settings-II
722
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
722
01:26Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
01:15Methods of Documentation VI: Case Management Model
573
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
573
01:30Specialized Care Centers and Settings-I
941
Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
941
01:29Documentation in Long-Term and Home Healthcare Setting
890
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
890