通过移动健康心血管疾病自我管理计划节省成本并改善临床结果
Walter Roberts1, Helena Lyson1, Clint Speer1
1Hello Heart, Inc, Menlo Park, CA, USA.
概括
针对心血管疾病 (CVD) 自主管理的移动健康 (mHealth) 计划显著降低了医疗保健成本,并改善了患者的血压. 老年人和患有第二阶段高血压的人看到了最大的好处,证明了成本效益.
科学领域:
- 数字健康数字健康
- 心血管医学 心血管医学
- 卫生经济学 卫生经济学
背景情况:
- 心血管疾病 (CVD) 在全球范围内对医疗保健系统造成重大负担.
- 有效的自我管理策略对于改善患者的治疗结果和减少医疗保健支出至关重要.
- 移动健康 (mHealth) 干预提供了一个可扩展的方法来支持慢性疾病管理.
研究的目的:
- 评估mHealth CVD自我管理计划对医疗支出,医疗保健利用和临床结果的影响.
- 评估数字健康工具在管理心血管疾病方面的成本效益.
- 确定影响该计划经济和临床效益的人口因素.
主要方法:
- 医学索赔数据的回顾性队列,前后观察分析 (2018年2月-2023年9月).
- 差异差异 (DiD) 方法比较mHealth计划参与者与匹配的非参与者.
- 线性混合模型用于评估参与者的血压变化.
主要成果:
- 参与mHealth CVD自我管理计划的每位会员每年节省1709.00美元.
- 参与该计划与减少住院病人的住院时间和增加初级保健利用率有关.
- 观察到血压显著降低,特别是在基线2期高血压的参与者中.
结论:
- mHealth CVD自我管理计划显示了显著的成本节约和临床改进.
- 这些数字健康干预措施是管理心血管疾病的有效和成本效益高的工具.
- 需要进一步的研究来探索长期益处,并支持更广泛地采用移动健康解决方案.
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