改善当地当局对具有复杂健康需求的用户的财政支持服务:英国南泰内赛德的社会导航员的混合方法经济评估
Peter van der Graaf1, Andrew McCarthy2, Murali Krishnan Perumbakkam Subramanian3
1Northumbria University, Newcastle upon Tyne, UK peter.graaf@northumbria.ac.uk.
BMJ open quality
|June 8, 2025
概括
社交导航服务提供了显著的价值,每投资1英就有3英的回报. 它们提高了用户的信心和财务福祉,打破了危机护理的循环.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 社会护理 整合 社会护理 整合
背景情况:
- 英国政府推广的社会处方缺乏强有力的证据,特别是在临床环境之外.
- 经济困难和复杂健康需求的个人面临着有限的心理健康服务获取.
研究的目的:
- 评估社会导航员 (SN) 服务对健康和福祉的影响.
- 评估SNs对弱势群体的经济价值和有效性.
主要方法:
- 混合方法设计:二次服务数据分析 (n=330),定性访谈 (n=15) 和社会投资回报 (SROI) 分析.
- 用英国社会价值银行指标进行经济评估.
主要成果:
- 展示了明确的金钱价值:每投资1英就有3英的回报.
- 在八个结果中,用户信心在统计学上显著改善.
- 为用户实现了巨大的财务收益:平均一次性收益为1237英,年收益为1703英.
- 定性数据显示,由于减少了财务负担,生活质量和精神健康得到改善.
结论:
- SN服务为面临财务困难和复杂健康需求的用户提供了强大的经济价值和切实的好处.
- 在综合护理中,SN起着至关重要的中介作用,解决更广泛的健康决定因素.
- 建立信任关系和提供量身定制的支持有助于打破危机护理的循环,并改善整体福祉.
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