医疗保健费用和利用率的变化,对于那些通过支付人社区住房合作伙伴关系获得支持性住房的医疗补助受益人而言
John Lovelace1, Yu-Hsuan Lai2, Justin Kanter3
1UPMC Insurance Services Division, Pittsburgh, Pennsylvania, USA.
Health services research
|November 13, 2024
概括
支持性住房显著降低了医疗保健成本和复杂医疗需求的医疗补助受益人的利用率. 这种干预措施对改善健康结果和管理医疗保健开支充满希望.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 医疗保健管理的管理
背景情况:
- 支持性住房计划旨在改善弱势群体的健康结果.
- 复杂需求的医疗补助受益人经常经历高的医疗保健成本和利用率.
- 托管护理组织和社区组织合作提供综合服务.
研究的目的:
- 评估支持性住房计划对医疗保健成本和利用率的影响.
- 评估在宾夕法尼亚州城市县的医疗补助和双重资格参与者之间的变化.
- 确定支持性住房作为医疗保健干预措施的有效性.
主要方法:
- 对80名计划参与者的医疗保健索赔进行了回顾性审查.
- 住房前 (12个月) 和住房后 (12个月) 期间的比较.
- 纳入标准:>18岁,医疗补助/特殊需要计划入学,住房需求,根据医疗复杂性优先考虑.
主要成果:
- 医疗费用 (-40.4%) 和住房后总费用 (-33.3%) 的大幅降低.
- 紧急部门成本 (-62.7%) 和利用率 (-50.0%) 大幅下降.
- 观察到对初级保健 (-50.0%) 和专业服务 (-31.3%) 的使用率较低.
结论:
- 支持性住房与较低的医疗保健成本和医疗复杂个体的利用有关.
- 研究结果表明,支持性住房可以成为有效的医疗保健干预措施.
- 建议对随机设计进行进一步的研究,以确定因果关系.
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