构建基础设施,将社会护理纳入安全网卫生系统
Christopher M Callahan1, Amy Carter1, Hannah S Carty1
1Christopher M. Callahan, Amy Carter, Hannah S. Carty, Tedd Grain, Seth L. Grant, Kimberly McElroy-Jones, Deanna Reinoso, and Lisa E. Harris are with Eskenazi Health, Indianapolis, IN. Daniel O. Clark is with the Department of Medicine, Indiana University School of Medicine, Indianapolis.
American journal of public health
|April 4, 2024
概括
整合社会和医疗护理需要大量的投资. 卫生系统每年需要300万至300万美元用于基础设施,而长期的付款人支持对于可持续性和更好的患者结果至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生系统管理管理卫生系统管理
- 健康的社会决定因素
背景情况:
- 国家学院建议整合社会和医疗护理.
- 当前的卫生系统往往会对社会需求进行选,但缺乏充分的整合.
- 城市安全网卫生系统在实施综合护理模式方面面临着独特的挑战.
研究的目的:
- 描述必要的人力资本,运营重新设计和金融投资,以整合社会和医疗保健.
- 估计卫生系统建立和维护这种综合护理基础设施的年度成本.
- 确定支付人对长期金融投资的需求,以支持综合护理.
主要方法:
- 在城市安全网健康系统中进行了关键案例研究.
- 收集了关于人力资本,运营变化和金融投资的数据.
- 成本估计是根据案例研究数据得出的.
主要成果:
- 实施综合社会和医疗护理需要大量投资,估计每年100万美元至300万美元.
- 现有资源可以促进初始短期融资,但长期可持续性需要付款人的参与.
- 卫生系统必须建立这种基础设施,以便研究综合护理的影响.
结论:
- 实现综合医疗和社会护理需要大量,持续的财务投资.
- 保险公司和其他付款人在实现长期整合方面发挥着至关重要的作用.
- 对患者和人口结果的进一步研究需要功能综合护理模型.
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