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为应对灾害利用远程医疗:在COVID-19危机期间对返回工作计划的纵向研究
Arie Arizandi Kurnianto1,2, Faten Amer3, Ananda Dellina Putri4
1Centre for Health Technology Assessment and Pharmacoeconomic Research, Faculty of Pharmacy, University of Pécs, Pécs, Hungary.
Disaster medicine and public health preparedness
|October 28, 2024
概括
远程医疗在印度尼西亚的返回工作计划 (RTW) 中显著减少了复发性职业伤害,并降低了医疗索赔成本. 这种数字健康解决方案为管理工作场所伤害和改善员工康复提供了具有成本效益的方法.
科学领域:
- 职业健康 职业健康 职业健康
- 数字健康数字健康
- 公共卫生政策 公共卫生政策
背景情况:
- 印尼在COVID-19后将远程医疗合法化用于医疗服务,包括返回工作 (RTW) 计划.
- 回归工作 (RTW) 计划对于职业伤害残疾员工重新融入劳动力中至关重要.
- 这项研究调查了远程医疗在支持职业伤害的RTW员工中的作用.
研究的目的:
- 检查远程医疗对印尼职业伤害员工返回工作计划 (RTW) 的影响.
- 评估远程医疗在减少复发性伤害和优化医疗索赔成本方面的有效性.
- 为政策制定和医疗保健专业人士提供基于证据的见解.
主要方法:
- 使用中断时间序列分析 (ITSA) 来分析远程医疗病例数量和索赔结算趋势.
- 利用了印度尼西亚国家社会保障机构就业 (BPJS Ketenagakerjaan) 的数据,涵盖2015年7月1日至2022年12月的时间.
- 总共分析了1314个数据点,以确定模式和时间效应.
主要成果:
- 远程医疗证明了残疾人中复发性职业伤害频率的显著降低 (相对风险[RR]=0.59).
- 远程医疗在医疗保健实践中的整合显示出减轻社会保障计划财务负担的潜力 (RR = 0.6).
- 这些发现表明,远程医疗的采用与提高RTW计划效率之间存在积极的相关性.
结论:
- 在COVID-19大流行期间,远程医疗有效地减少了重复职业伤害病例,并在RTW计划中优化了医疗索赔成本.
- 该研究的结果为政策制定提供了有价值的贡献,并帮助医疗保健专业人员和雇主提高残疾人RTW结果.
- 远程医疗为改善职业伤害康复计划的管理和财务可持续性提供了一个有希望的途径.
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