针对复杂生活的个性化护理:基于行为信息的复杂护理干预的初始结果
Trygve Dolber1, Ryan Muskin2, Patrick Runnels3
1Internal Medicine, Case Western Reserve University School of Medicine, Behavioral Health University Hospitals, 11100 Euclid Avenue, Cleveland, OH, 44106, USA.
个性化护理服务降低了高成本患者的医疗保健成本,并降低了标准用户的再接收风险. 这种适应性干预对管理行为健康状况的高风险个体有希望.
科学领域:
- 医疗保健管理的管理
- 行为健康 行为健康
- 卫生经济学 卫生经济学
背景情况:
- 高成本的患者 (5%) 推动了大量的医疗保健支出.
- 标准化干预措施往往无法为这一群体带来投资回报.
- 具有行为健康诊断的医学高风险个体需要量身定制的管理策略.
研究的目的:
- 为医疗高风险患者开发和展示适应性干预.
- 为了降低行为健康状况的个体的医疗费用和再接收风险.
- 评估个性化护理服务投资回报率.
主要方法:
- 一个以行为为导向,个性化的护理服务是使用多学科团队实施的.
- 该服务涉及代,量身定制的治疗方法,以防止脱补偿和重新训练行为.
- 一项匹配的病例控制研究比较了26名干预成员与26名来自员工健康计划的对照.
主要成果:
- 在大量使用者 (n=7) 中,计划和计划之外的医疗支出均有显著下降.
- 对于标准用户 (n=19) 来说,计划外的医疗保健支出显著下降.
- 标准使用者的再接收风险得分显著下降,但高使用者的风险得分并没有下降.
结论:
- 一个以行为为导向的个性化护理干预在商业保险人群中证明了价值.
- 该干预措施导致高使用者的医疗保健支出减少,并降低了标准使用者的再接收风险.
- 建议进一步扩展,改进和评估这种适应性干预.
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
06:16Involving Individuals with Developmental Language Disorder and Their Parents/Carers in Research Priority Setting
Published on: June 6, 2020
相关概念视频
Guidelines for Writing Outcome
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Operant Conditioning Intervention
In operant conditioning, behaviors that are...
Role of Communication in the Nursing Process II: Planning and Implementation
Community Based Intervention
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Nursing Interventions II: Selecting and Classifying the Nursing Interventions
Planning Nursing Care II
