该计划安全网医院计划的成本效益扩大社会需求活动在亚特兰大
Journal of health care for the poor and underserved
|February 17, 2025
概括
格雷迪心力衰竭计划 (GHFP) 通过加强患者的随访,减少了30天的心力衰竭再入院. 这种扩张有可能通过避免昂贵的再入院,为医院节省成本.
科学领域:
- 心脏病学 心脏病学
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 格雷迪心力衰竭计划 (GHFP) 是一项门诊服务,用于住院后的心力衰竭患者.
- 安全网医院在管理心力衰竭再入院方面面临挑战.
- 社会经济因素显著影响治疗坚持和结果.
研究的目的:
- 评估2018年实施的扩大格雷迪心力衰竭计划 (GHFP) 的有效性.
- 评估增加社区卫生工作者,患者联络人员和家庭访问对心力衰竭再入院的影响.
- 从医院提供者的角度来确定GHFP的成本效益.
主要方法:
- 一个前后分析,比较2017年和2018年的GHFP数据.
- 在计划扩展之前和之后的30天所有原因的心力衰竭再入院率的计算.
- 评估患者随访率在医院出院后七天内.
- 确定每次避免30天心力衰竭再入院的增量程序成本.
主要成果:
- 退院后七天内对患者的随访率从2017年的63.7%增加到2018年的65.6%.
- 30天心力衰竭再入院率从2017年的15.5%降至2018年的13.1%.
- 2018年,每次避免30天再入院的增量成本为7955美元.
结论:
- 扩展的GHFP证明了30天的心力衰竭再入院的减少.
- 该计划的增强支持服务改善了及时的后续护理.
- 全球医疗健康计划显示,通过降低住院患者再接收费用,医院可以节省潜在的成本.
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