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社区紧急医疗服务提供的防摔干预措施的经济建模:决策树分析
Alexander James Ordoobadi1,2, Tynan H Friend1,3, Sarah D Berry4
1Department of Surgery, Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts, USA.
社区紧急医疗服务 (EMS) 防摔计划为医疗保健系统节省了成本. 这种干预有助于预防高风险老年人的反复跌倒,证明了经济价值.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
背景情况:
- 经过专门培训的紧急医疗服务 (EMS) 临床医生可以在高风险患者的家中预防跌倒.
- 社区EMS防摔计划的成本阻碍了广泛采用.
- 本研究评估了社区EMS防摔干预措施的经济影响.
研究的目的:
- 确定社区EMS防摔干预措施是否会为医疗保健系统带来整体成本节省.
- 评估EMS提供的家庭防摔计划的成本效益.
主要方法:
- 一个决策树模型模拟了65岁以上的成年人在一年内首次跌倒后的结果.
- 关于过渡概率和成本的数据来源于文献评论.
- 干预包括家庭改造,教育,治疗转诊和医生协调,与没有干预相比.
主要成果:
- 这项干预为每位患者节省了964美元的净成本.
- 增量成本效益比为每次预防下降-22,174美元,这表明节省了成本并提高了效率.
- 该计划仍然节省了成本,降低了26%的下降成本或将程序成本增加到1634.4美元.
结论:
- 社区EMS的多因素防摔干预措施为医疗保健系统节省了成本.
- 医疗保健支付人应在经济上支持和偿还这些有效的防摔计划.
- 这种经济建模支持社区EMS在防摔策略中的整合.
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