加强社区杜拉计划的投资回报分析:COVID-19前后考虑
Julie Mottl-Santiago1, Dmitry Dukhovny2, Emily Feinberg3
1Department of Obstetrics and Gynecology, Boston Medical Center, Boston, Massachusetts, USA.
Birth (Berkeley, Calif.)
|October 12, 2024
概括
社区杜拉支持对医疗补助支付人来说具有成本效益,投资回报率为18%. 这种干预措施改善了低收入人群获得孕产妇护理的机会,并且即使成本增加,经济上也是可行的.
科学领域:
- 孕产妇健康 孕产妇健康
- 卫生经济学 卫生经济学
- 公共卫生干预措施 公共卫生干预措施
背景情况:
- 社区杜拉在怀孕期间和产后提供重要支持,改善分娩结果和护理经验.
- 缺乏保险退款限制了低收入人群负担得起的杜拉接入.
- 需要使用真实数据进行投资回报 (ROI) 分析,以评估Medicaid对杜拉服务的报销.
研究的目的:
- 从医疗保健的角度对婴儿最好的开始 (BBB) 社区杜拉干预进行ROI分析.
- 为医疗补助支付人确定社区杜拉服务的财务可行性和成本效益.
主要方法:
- 使用了一项随机对照试验,比较了带有和没有BBB干预的常规产妇护理.
- 医疗保健费用和计划费用与临床结果一起收集.
- 投资回报率计算为医疗保健净储蓄除以投资成本,包括COVID-19后的成本调整.
主要成果:
- 通过BBB干预,每位患者平均节省了1,152美元的医疗费用.
- 该计划显示了18%的投资回报率,通过减少分娩住院和NICU停留而节省了大量资金.
- 拟议的医疗补助补偿率显示出正面的投资回报率,尽管目前的工资估计没有.
结论:
- BBB社区杜拉计划为付款人节省了成本,并为低收入个人提供了更好的机会.
- 尽管项目成本增加,但杜拉服务在经济上仍然可行,这使得医疗补助支付人对其负担能力感到放心.
- 这项研究支持将社区杜拉服务纳入医疗补助覆盖范围.
关键词:
医疗补助公司 (Medicaid) 的医疗补助.杜拉斯,杜拉斯,杜拉斯,杜拉斯,杜拉斯,杜拉斯,杜拉斯,杜拉斯,杜拉斯,杜拉斯,杜拉斯经济评估 经济评价医疗保健费用 医疗保健费用医疗法律伙伴关系 医疗法律伙伴关系投资回报率 投资回报率 投资回报率更多相关视频
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