为整个人健康辩护
Patricia M Herman1, Mark H Pitcher2, Helene M Langevin2
1Health Care Division, RAND, Santa Monica, CA, USA.
Global advances in integrative medicine and health
|October 21, 2024
概括
与传统的以疾病为中心的方法相比,向全身护理模式过渡,专注于饮食,运动和压力管理,可以显著改善健康结果并降低终身医疗保健成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 预防医学 预防医学
- 卫生经济学 卫生经济学
背景情况:
- 美国的传统医疗保健被身体系统分散,导致高成本和低于最佳的患者结果.
- 目前的系统优先考虑药物和简短的提供者互动,而不是生活方式和行为健康投资.
研究的目的:
- 倡导医疗保健的范式转变,从以疾病为中心的模式转向"全人"的方法.
- 为了比较传统与全身护理的长期健康和经济影响.
主要方法:
- 一个假设的患者,M太太,从40岁到80岁在两个场景下建模:传统护理 (A版本) 和全身护理 (B版本).
- 对于每个场景,制定了健康和医疗保健利用假设,使用2023年美元资源价格计算成本.
- 传统护理场景的假设与医学支出小组调查 (MEPS) 数据进行了验证.
主要成果:
- 在80岁时,传统的护理场景导致一个脆弱的患者在熟练的护理设施中,累计成本为353,155.5美元.
- 整个个人护理场景描绘了一个活跃,健康的80岁老人,累计成本为52 425.5美元.
- 全身护理表明,改善健康和减少医疗保健支出都有很大的潜力.
结论:
- 从中年开始投资于饮食,体育活动和压力管理等健康生活方式因素,可以改善健康.
- 全人护理模式提供了一条可信的途径,可以提高福祉,并大幅减少整体医疗保健支出.
- 这一案例说明了积极的,整体的健康管理对反应性的,以疾病为中心的治疗的长期经济效益.
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