与加利福尼亚全人护理试点计划中医疗补助受益人急性护理利用率减少相关的计划实施策略
Emmeline Chuang1, Dahai Yue2, Brenna O'Masta3
1University of California, Berkeley, USA.
Medical care research and review : MCRR
|September 3, 2024
概括
加利福尼亚州加利福尼亚州加利福尼亚州.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 政策制定者正在投资解决与健康相关的社会需求 (HRSNs),以改善健康结果和控制成本.
- 关于HRSN干预措施的实施和影响的证据有限.
- 加利福尼亚州的全人护理试点 (WPC) 计划旨在为医疗补助受益人提供HRSN.
研究的目的:
- 检查WPC计划对不同试点急性护理利用的影响的变化.
- 确定与HRSN干预中差异性结果相关的因素.
主要方法:
- 来自加利福尼亚州全人护理试点计划的试点级数据的分析.
- 在入学者和匹配的对照者之间比较急性护理利用率 (急诊室访问,住院).
- 巧合分析以确定区分成功飞行员的关键因素.
主要成果:
- 大多数WPC飞行员减少了与对照组相比的急诊室访问.
- 越来越少的飞行员实现了急诊室访问和住院的减少.
- 跨部门的合作伙伴关系,外展和项目投资对于减少急性护理利用率至关重要.
结论:
- 解决与健康相关的社会需求可能会影响急性护理的利用率,但结果各不相同.
- 成功的HRSN干预需要强大的伙伴关系,有效的参与和足够的资源.
- 需要进一步的研究来优化HRSN干预策略的公共卫生影响.
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