医疗保险优势受益人中使用率和质量,他们对远程医疗的访问率高或低
Jiani Yu1, Lawrence P Casalino1, Hye-Young Jung1
1Division of Health Policy and Economics, Department of Population Health Sciences, Weill Cornell Medical College, New York, NY 10022, United States.
Health affairs scholar
|April 17, 2025
概括
增加Medicare Advantage患者的远程医疗访问并没有改变总体评估和管理访问,但减少了急诊室访问. 这表明远程医疗可以在不改变总体访问量的情况下转移护理交付.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 数字健康数字健康
背景情况:
- 远程医疗的使用量急剧增加,特别是在医疗保险优势 (MA) 登记者中.
- 马的独特的支付和网络结构需要了解远程医疗对护理质量和成本的影响.
研究的目的:
- 评估MA受益人之间的远程医疗接入与医疗保健利用和质量之间的关联.
- 为马来西亚远程医疗服务的覆盖和支付政策提供信息.
主要方法:
- 从2019-2021年对20%的全国随机抽样MA遭遇数据进行分析.
- 基于不同级别的远程医疗接入的质量和利用结果的比较.
- 检查面对面,远程医疗和总评估和管理 (E&M) 访问,以及急诊室 (ED) 访问和住院.
主要成果:
- 远程医疗的高访问与面对面的E&M访问减少了13.4%,被远程医疗E&M访问的增加所抵消,导致总E&M访问没有变化.
- 远程医疗的高访问率与ED总访问量下降4.8%有关.
- 在可预防的急救诊所,总住院人数或门诊护理敏感住院人数中没有发现显著差异.
结论:
- 增加MA受益人之间的远程医疗访问有效地取代了面对面的E&M访问,而不会改变总的E&M访问量.
- 远程医疗的扩张可能有助于减少整个急诊室的使用率.
- 调查结果为决策者提供了关于远程医疗在MA护理提供中的作用的证据.
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