从一个mHealth工具来节省成本,以改善药物坚持
Chad Stecher1, Sebastian Linnemayr, Peter Reaven
1Arizona State University, 500 N 3rd St, Phoenix, AZ 85004.
The American journal of managed care
|October 28, 2024
概括
威尔斯应用程序,使用财政激励,改善了药物坚持和降低医疗保健费用医疗补助会员. 这种移动医疗干预措施初步证明了慢性疾病的成本节约.
科学领域:
- 卫生经济学 卫生经济学
- 数字健康干预措施 数字健康干预措施
- 药物治疗 药物治疗 药物治疗 药物治疗 药物治疗 药物治疗
背景情况:
- 药物不服药是导致健康状况不佳和医疗保健支出增加的重要驱动因素.
- 移动健康 (mHealth) 干预措施,特别是那些利用财务激励措施的干预措施,正在成为改善遵守的战略.
- 威尔斯应用程序利用财务激励来鼓励一致的药物使用.
研究的目的:
- 评估与Wellth应用程序相关的医疗保健成本节省.
- 评估Wellth应用程序对药物坚持和医疗保健利用的影响.
主要方法:
- 在使用Wellth应用程序对亚利桑那州医疗补助管理护理计划成员进行了一项观察性研究.
- 一个差异差异的方法与一对一匹配比较了Wellth用户与非用户在9个月的时间内.
- 分析了索赔数据和应用程序使用数据,以确定干预对遵守,利用和成本的影响.
主要成果:
- 韦尔斯干预显著增加了5.0个百分点的药物坚持.
- 在Wellth的用户中,观察到急诊室,住院病人和精神卫生诊所访问的减少.
- 估计9个月的平均成本节约为每名会员88.15美元,COPD,精神分裂症或严重抑郁症患者的节约更大.
结论:
- 威尔斯应用程序展示了用于管理常见慢性疾病的成本节约的初步证据.
- 移动健康干预的低成本与积极的遵守和利用结果相结合,表明了更广泛实施的潜力.
- 移动医疗平台内的财务激励可以成为改善药物遵守和减少医疗保健支出的有效策略.
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