在医疗保险的综合初级保健加模式中,高度稳定的受益人归属
Fang He1, Ariella Hirsch1, Chris Beadles1
1RTI International, NC.
Medical care
|June 18, 2024
概括
在先进的初级保健模式中,如综合初级保健加 (CPC+) 中,受益者归属显示了12%的年度流失率. 稳定的归因支持对高质量护理的实践投资.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 主要护理政策 基本护理政策
- 医疗保健经济学 医疗经济学
背景情况:
- 先进的初级保健模式提高了对患者护理质量和成本的问责制.
- 受益人归属方法对于模型设计和实践支付至关重要.
- 稳定的归因鼓励长期投资于先进的初级保健.
研究的目的:
- 在综合初级保健+ (CPC+) 模型中评估医疗保险服务费受益人的归因稳定性.
- 评估归因方法对实践支付和投资的影响.
主要方法:
- 从2017-2021年CPC+数据计算的年度流失率 (归因于不同实践的受益人百分比).
- 分析了CPC+总体受益者和特定子组的归因稳定性.
- 评估归因对受益人实践变化的响应能力,包括长途搬迁.
主要成果:
- 总体而言,年度归因退出率为12%,四年后70%的受益人归因于相同的做法.
- 弱势子组,如残疾受益人,经历了更高的离职率.
- 长途搬家公司的归因变化发生在平均5个季度后.
结论:
- 在CPC+中高度的归因稳定性可能促进了对先进的初级保健的实践投资.
- 解决弱势群体的退学问题对于公平的先进初级保健至关重要.
- 一致的受益者归属是基于价值的护理模式成功的关键.
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