高血压管理远程患者监测计划的项目成本和投资回报
Donglan Stacy Zhang1,2, Laure Millet3, Brandon K Bellows4
1Center for Population Health and Health Services Research, Department of Foundations of Medicine, New York University Grossman Long Island School of Medicine, Mineola, NY.
medRxiv : the preprint server for health sciences
|February 20, 2025
概括
在大型医疗保健系统中,远程高血压患者监测 (RPM-HTN) 是经济上可持续的,显示出投资回报率 (ROI) 是积极的. 优化患者遵守和降低成本是计划扩张的关键.
科学领域:
- 卫生经济学 卫生经济学
- 心脏病学 心脏病学
- 数字健康数字健康
背景情况:
- 医疗保健系统越来越多地采用高血压的远程患者监测 (RPM-HTN).
- 评估RPM-HTN计划的经济可行性对于广泛实施和可持续性至关重要.
研究的目的:
- 评估高血压远程患者监测 (RPM-HTN) 计划的项目成本和财务可持续性.
- 为了确定心脏病实践中的RPM-HTN计划的投资回报率 (ROI).
主要方法:
- 使用实地观察,采访和定量分析进行经济评估.
- 开发一个成本计算工具来量化项目开支 (人员,初创,设备,用品).
- 使用2024年医疗保险退款率和单变量灵敏度分析计算ROI.
主要成果:
- 平均RPM-HTN成本为每名患者330美元,每年100名患者的年费为33000美元.
- 关键的成本驱动因素包括护士从业人员数据审查 (172美元/患者),设备成本 (48美元/患者) 和通信 (36美元/患者).
- 平均ROI为22.2%,患者遵守率为55%,对数据审查成本,报销,合规性和设备设置敏感.
结论:
- 在大型城市医疗保健环境中,RPM-HTN计划证明了财务可持续性,具有积极的ROI.
- 提高患者合规性和降低人力资源成本对于扩展RPM-HTN计划至关重要.
- 在大型医疗保健系统中,RPM-HTN提供了一种可行的高血压管理模型.
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