对初级保健中的数字化优先医疗途径的成本最小化分析
Alexandra Dahlberg1,2, Sakari Jukarainen3,4, Taavi Kaartinen3,4
1Harjun terveys, Helsinki, Finland. alexandra.dahlberg@harjunterveys.fi.
NPJ digital medicine
|August 25, 2025
概括
与传统护理相比,数字化优先初级护理显著降低了轻微急性疾病的成本. 这一途径为管理常见疾病提供了具有成本效益的策略,在各种表现中节省了大量资金.
科学领域:
- 健康经济学
- 数字健康
- 主要护理管理
背景情况:
- 主要护理系统面临越来越多的轻微急性疾病管理需求.
- 传统的护理途径可能是资源密集的.
- 数字医疗解决方案为优化医疗服务和成本提供了潜力.
研究的目的:
- 评估数字第一途径与轻微急性初级护理事件的传统护理的成本效益.
- 为了比较平均事件成本并确定节省成本的领域.
- 分析资源使用情况,包括测试和后续访问.
主要方法:
- 基于注册表的回顾性成本最小化分析.
- 包括来自五种临床表现的637,923个符合条件的事件.
- 有19697对的倾向性比较.
主要成果:
- 数字化优先路径显著降低了平均事件成本的22.7% (170.74欧元对220.91欧元,P<0.001).
- 节省的成本因病情而异,从呼吸道感染的10.3%到胃肠炎的52.5% (所有P<0.001).
- 数字护理与实验室检查和成像检查的减少相关,整体上,随访次数减少.
结论:
- 数字化为先的模式代表了在初级保健中管理轻微急性疾病的成本效益高的策略.
- 数字化途径的实施可以大幅降低医疗保健成本.
- 支持进一步采用数字优先方法以提高初级保健的效率.
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