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相关概念视频

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一个基于计算机的,付费者主导的,低强度的多道教育活动,旨在减少医疗保险优势会员的出院后利用:回顾性评估.

Danica Fernandes1, Elise Kokonas2, Jai Bansal1

  • 1Analytics & Behavior Change, Aetna, CVS Health, New York, NY, United States.

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概括
此摘要是机器生成的。

一个多道的教育信息宣传活动有效地减少了医疗保险优势会员的30天和90天的住院再诊和急诊室访问. 这种低强度干预证明是可扩展和可持续的,可以改善患者的治疗结果.

关键词:
改变行为 改变行为临床信息学 临床信息学设计 设计 设计 设计数字健康数字健康教育教育教育教育的教育.健康行为健康行为在医院重新入院.以人为中心,以人类为中心.以人为中心的设计在住院的病人身上.医疗保险 (Medicare) 是一个医疗保险.发送信息的消息传递.发送信息的运动活动.推广活动 宣传活动个性化的教育个性化的教育人口健康 人口健康再接纳是指重新接纳的情况.使用利用利用利用利用利用利用利用利用利用使用使用利用利用利用.

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科学领域:

  • 医疗信息学 医疗信息学
  • 行为科学 行为科学
  • 提高质量 提高质量

背景情况:

  • 避免再接收是医疗保健支付人的优先事项,但传统干预措施往往资源密集且不可持续.
  • 国家付款人可以利用数据来识别针对性干预的高风险成员.
  • 教育干预旨在改变健康行为并减少再入院.

研究的目的:

  • 检查一项以信息技术为导向的多道教育信息传递活动对急性住院患者再入院和急诊室 (ED) 访问的影响.
  • 通过低强度推广提供量身定制的行为改变技术的有效性.
  • 为了评估一个大型国家纳税人的医疗保险优势会员之间的结果.

主要方法:

  • 一个质量改善倡议实施了一个基于证据的宣传活动,使用以人为中心的设计和行为改变原则.
  • 成员 (N=368,393) 使用利用管理数据进行识别,并分配到标准或增强的消息群组.
  • 增强组除了标准的外展服务外,还通过多个低强度道 (文本,电子邮件,直邮) 接受了教育干预.

主要成果:

  • 与标准外展相比,加强外展显著减少了30天的急性住院再诊 (-4.1%) 和ED访问 (-3.4%) (P<.001).
  • 这些好处在90天后仍然存在,在增强组 (P<.001) 中,再接收人数 (-5.4%) 和ED访问人数 (-3.8%) 更少 (P<.001).
  • 统计学上显著的减少被观察到在强化外展小组的再接收和ED访问.

结论:

  • 低强度的多道教育干预措施有效地减少了可避免的30日和90天的住院再入院和急救访问.
  • 这一策略对于最近退休的Medicare Advantage会员,尤其是65岁以上的会员,尤其有效.
  • 通过可扩展的外展部署的行为改变技术可以改善健康结果并减少医疗保健利用率.