护理管理改善了痴呆症患者的护理总成本
R John Sawyer1, Carolina Pereira Osorio, Sakshi Sharma
11514 Jefferson Hwy, New Orleans, LA 70121.
The American journal of managed care
|August 15, 2024
概括
一个痴呆症护理管理计划显著降低了医疗保险会员的医疗保健成本. 该计划实现了大幅度的节约和改善健康结果,证明了投资回报的积极性.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
背景情况:
- 痴呆症护理管理对于改善患者的治疗结果和管理医疗保健支出至关重要.
- 医疗保险管理护理人群为成本有效的干预提供了独特的挑战和机会.
研究的目的:
- 评估一个为期12个月的痴呆症护理管理计划的财务影响和利用模式.
- 为了确定医疗保险管理护理环境中的护理生态系统计划的投资回报率 (ROI).
主要方法:
- 一项前后分析比较了护理生态系统计划中的121名参与者与121名倾向匹配的对照者.
- 差异分析评估了12个月的护理总成本,医疗保健利用率 (ED访问,住院,门诊) 和等级状况类别 (HCC) 风险得分.
主要成果:
- 参与者经历了显著降低的护理总成本,平均每月每位会员节省475.80美元.
- 观察到医疗保健利用率下降,包括急诊室 (ED),门诊和专业人员的访问减少.
- 改善的等级状况类别 (HCC) 风险评分表明相对于对照组的总体健康状况更好.
结论:
- 协作痴呆症护理计划为管理的医疗保险人口带来了显著的财务利益.
- 护理生态系统计划展示了降低医疗保健成本和改善痴呆症护理结果的可行模式.
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