电子信息交换是否与医疗保险受益人的30天再接收费用较低有关?
Sara D Turbow1,2, Puneet K Chehal3, Steven D Culler3
1Department of Medicine, Division of General Internal Medicine, Emory University School of Medicine, Atlanta, GA.
Medical care
|May 10, 2024
概括
医院参与健康信息交换 (HIE) 并没有显著降低碎片化再入院费用. 这项研究发现,共享HIE或不共享HIE的医院之间的成本没有统计差异.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健经济学 医疗保健经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在不同医院发生的碎片化再入院,比非碎片化再入院带来更高的成本.
- 了解影响这些成本的因素对于控制医疗保健成本至关重要.
研究的目的:
- 调查医院参与健康信息交换 (HIE) 是否与碎片化再入院的总费用降低有关.
- 分析HIE对不同医疗机构患者再入院的财务影响.
主要方法:
- 利用了2018年医疗保险服务费用数据,分析了279,729个入院-再入院对.
- 采用了具有固定的效果的通用线性模型来评估HIE参与和30天碎片化再录取的总费用之间的关系.
- 针对患者和医院一级特征进行调整的分析.
主要成果:
- 碎片化再接收占所有再接收的27%,平均收费从64,897美元到71,606美元不等.
- 在涉及同一HIE,不同HIEs或没有HIE的医院的碎片化再录取之间,没有发现对总费用平均边际影响的显著差异.
- 虽然不同的HIE对比没有HIE对显示了较低成本的趋势,但这在统计学上并不显著.
结论:
- 医院参与健康信息交换 (HIE) 似乎不会显著影响与零碎再入院相关的总费用.
- 调查结果表明,目前的HIE结构可能无法有效减轻护理分散的财务负担.
- 需要进行进一步的研究,以探索在分散的再接收场景中降低成本的替代策略.
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