安大略省虚拟紧急护理试点计划的成本评估:基于人口的匹配队列研究
Jean-Eric Tarride1,2,3, Justin N Hall4,5,6, Shawn Mondoux7,8,9
1Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.
Journal of medical Internet research
|July 15, 2024
概括
虚拟紧急护理 (VUC) 可以具有成本效益,特别是当患者不需要急诊室 (ED) 转诊时. 这项研究发现,当大多数问题在没有ED访问的情况下得到解决时,VUC节省了资金.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 数字健康数字健康
- 医疗保健经济学 医疗保健经济学
背景情况:
- 安大略省卫生部 (MoH) 在2020年推出了一项虚拟紧急护理 (VUC) 试点项目.
- 该计划的目的是提供替代的紧急护理,并减少急诊室 (ED) 对低急性情况的访问.
研究的目的:
- 为了比较30天的虚拟紧急护理 (VUC) 与面对面的急诊室 (ED) 遭遇的30天成本.
- 从加拿大安大略省卫生部 (MoH) 的角度分析成本.
主要方法:
- 一项基于人口的匹配队列研究,使用了安大略省的行政数据 (2020年12月 - 2021年9月).
- 确定了两个VUC用户队列,并与个人ED用户匹配: (1) 那些在72小时内被转到ED的人,和 (2) 那些没有被转到ED的人.
- 引导技术比较了30天的平均成本,包括VUC运营成本和医疗保健支出,与个人ED医疗保健支出.
主要成果:
- 匹配了2129名VUC患者转移到ED和14179名VUC患者没有转移到ED.
- 对于被转移到ED的VUC患者,30天的费用显著更高 (2805美元对2299美元).
- 对于不需要ED转诊的VUC患者,30天的费用显著降低 (907美元对1270美元),导致VUC的整体节省400万美元.
结论:
- 这种成本评估支持虚拟紧急护理 (VUC) 的采用,特别是当大多数患者投诉在没有ED转诊的情况下得到解决时.
- 未来的研究应该探索有针对性的VUC模型 (例如,由执业护士领导),以指导资源分配和政策决策.
关键词:
加拿大加拿大加拿大加拿大加拿大加拿大加拿大安大略省 安大略省 安大略省 安大略省 安大略省 安大略省关心的关心的关心的关心在决策过程中做出决定.经济评估 经济评价紧急情况部门的急救部门.医疗保健支出 医疗保健支出病人的病人的病人的病.患者患者患者患者患者患者患者飞行员 飞行员 飞行员 飞行员 飞行员试点计划 试点计划 试点计划政策 政策 政策 政策政策决策 决策 政策决策 决策资源分配的资源分配.这些资源是资源,资源是资源.紧急护理 紧急护理使用者使用者使用者使用者虚拟护理是指虚拟的护理.虚拟紧急护理 虚拟紧急护理更多相关视频
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