定义和验证标准,以确定可能受益于家庭基础初级保健的人群
Maggie R Salinger1, Katherine A Ornstein2,3,4, Hannah Kleijwegt5
1Division of General Internal Medicine, Brown Medicine, Providence, RI.
Medical care
|October 15, 2024
概括
一个新的算法可以识别高需要家庭初级保健 (HBPC) 的老年人. 该工具有助于针对需要HBPC服务的患者,改善护理准入和计划评估.
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
- 主要护理医学 医疗保健
背景情况:
- 家庭初级保健 (HBPC) 对高需要的老年人至关重要.
- 目前针对HBPC的患者向不一致,限制了计划评估和扩展.
研究的目的:
- 制定和验证识别HBPC适当目标人群的标准.
- 建立客观的标准来指导HBPC计划的扩展和评估.
主要方法:
- 一个经过修改的Delphi过程,涉及29名专家,就HBPC目标人群标准达成共识.
- 使用链接的医疗保险索赔和国家健康和衰老趋势研究 (NHATS) 数据 (n=21,727) 验证了标准.
- 构建验证评估的人口统计,健康结果和支出.
主要成果:
- 开发了一种具有严重疾病,功能障碍和社会隔离标准的算法.
- 该算法确定了16.8%的医疗保险受益人适合HBPC.
- 与一般队列相比,确定的群体的医疗保健费用和12个月死亡率明显较高.
结论:
- 成功开发了一种用于定义HBPC目标群体的验证算法.
- 这些发现表明需要扩大HBPC服务.
- 这种算法有助于客观地识别HBPC的需求,支持可靠的评估和公平的扩张.
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