退伍军人卫生管理局的利用和成本 转介到基于社区护理的物理治疗
Kelsea LeBeau1, Zaccheus J Ahonle1,2, Sharon N Mburu1,3
1Veterans Rural Health Resource Center, Gainesville, Florida.
概括
退伍军人卫生管理局社区护理理疗法推从2020财年到2022财年增加,费用在2021财年几乎翻了一番. 了解这些趋势对于优化退伍军人康复服务至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 康复医学 康复医学 康复医学
- 卫生经济学 卫生经济学
背景情况:
- 退伍军人卫生管理局 (VHA) 利用社区护理 (CC) 和电话康复企业范围倡议 (TR-EWI) 为退伍军人提供医疗保健,包括康复服务.
- 远程医疗为克服CC的挑战提供了机会,但其在康复服务中的应用需要进一步研究.
研究的目的:
- 分析VHA社区护理计划中的物理治疗 (PT) 转诊使用和成本趋势.
- 确定退伍军人的PT推中的人口和地理模式.
主要方法:
- 描述性统计数据用于分析VHA企业数据仓库和VHA支持服务中心推数据 (2019财年-2022财年).
- 我们检查了VHA社区护理推仪表板 (FY2020-FY2022) 的成本数据.
- 临时诊断数据进行了定性分析,以确定常见的PT转诊原因.
主要成果:
- 从2019财年到2022财年,有超过344,000个PT转介给CC的记录,与2020财年到2022财年相比,这一数字显著增加.
- 在城市退伍军人和60-79岁的人群中,转诊更为常见.
- 从2020财年到2022财年,大约2.21亿美元用于200,204个PT转介,而在2020财年到2021财年之间,成本几乎翻了一番.
结论:
- 在不同的退伍军人综合服务网络 (VISN) 中,PT转介和相关成本存在显著差异.
- 成本趋势凸显了通过社区护理对退伍军人康复的大量财政投资.
- 进一步了解成本驱动因素对于VHA有效管理和提供康复资源至关重要,确保通过面对面,远程医疗和CC方式及时提供高质量的护理.
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