两个社会卫生支持计划之间的医疗保健成本差异:来自随机社会卫生整合试点计划的随机调查结果
Ammarah Mahmud1,2, Meagan C Brown3,4, Cara C Lewis5,3
1Department of Health Systems and Population Health, University of Washington, Seattle, WA, USA. amahmud@uw.edu.
BMC health services research
|October 1, 2025
概括
社会卫生整合计划显示,短期内,初级和专科护理费用增加. 这可能反映出更多的患者参与,可能导致更好的长期健康管理和减少未来的成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 医疗保健系统越来越专注于健康的社会决定因素.
- 社会卫生整合旨在在医疗保健机构内解决患者的社会需求.
- 本研究评估了一项试点社会卫生整合计划对医疗保健成本的影响.
研究的目的:
- 检查社会卫生整合试点计划对医疗保健成本的影响.
- 为了比较集中式与基于诊所的社会需求支持的成本效益.
- 为在初级保健机构采用类似干预措施提供信息.
主要方法:
- 一项随机对照试验,涉及534名具有社会需求的患者.
- 集中连接呼叫中心 (CCC) 和基于诊所的社区资源专家 (CRS) 之间的成本比较.
- 分析了9个月的行政和索赔数据,使用治疗意图和治疗方法.
主要成果:
- 调整后的分析表明,与CCC参与者相比,CRS参与者的初级保健费用高出286美元.
- 随处理的分析显示,接受CRS援助的患者的专科护理费用比没有接受CRS援助的患者高2,356美元.
- 在CRS和CCC组之间没有观察到显著的未经调整的成本差异.
结论:
- 增加的初级和专科护理费用可能意味着患者对医疗保健系统的参与度增加.
- 这种参与可能会导致改善长期健康管理和预防可避免的医疗保健利用.
- 结果为医疗保健系统提供了洞察力,考虑类似的社会健康整合倡议.
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