当天医务人员 (Tele-MOD) 计划的远程超时远程医疗的临床性能:一个队列研究
Christine E Kistler1, Jennifer L McCoy2, Monique Boudreaux-Kelly2
1Technology Enhancing Cognition and Health-Geriatrics Research Education and Clinical Center (TECH-GRECC), VA Pittsburgh Healthcare System, Pittsburgh, PA, USA; Division of Geriatric Medicine, School of Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
Journal of the American Medical Directors Association
|November 18, 2025
概括
日间远程医疗办公室 (Tele-MOD) 计划显著减少了退伍军人养老院居民的急诊室访问,住院和费用. 扩大这种开放后远程医疗服务可以使更多的退伍军人受益,并节省大量成本.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 远程医疗远程医疗
背景情况:
- 社区生活中心 (CLC) 是提供老年退伍军人护理服务的退伍军人养老院.
- 对CLC居民的下班照顾往往导致急诊室 (ED) 访问和住院.
- 远程医疗提供了一种潜在的解决方案,可以提高工作后护理的准入和效率.
研究的目的:
- 评估日间远程医疗医疗办公室 (Tele-MOD) 计划的临床性能和成本效益.
- 评估远程MOD对ED访问,住院和CLC居民再入院率的影响.
- 为了确定与VA养老院的Tele-MOD计划相关的成本节约.
主要方法:
- 追溯的队列研究分析了来自两个VA养老院的行政数据.
- 评估远程MOD访问 (2023年4月至2024年6月),包括人口统计和访问类型 (电话与视频).
- 在最初的Tele-MOD接触前30天和之后的ED访问和住院的比较;进行了成本分析.
主要成果:
- 电话MOD计划为492名退伍军人提供了3949次访问;12.6%的视频访问.
- 观察到的显著减少:ED访问减少了33.2% (VA) 和6.1% (社区护理),住院病例减少了49.4% (VA) 和10.3% (社区护理).
- 所有原因的30天再接收人数下降了54.9%,估计每名退伍军人节省了45538美元的成本 (所有人P < .001).
结论:
- 远程MOD计划有效地减少了VA养老院居民的医疗保健利用 (ED访问,住院治疗) 和成本.
- 这些发现支持将Tele-MOD计划扩展到其他VA养老院,以实现类似的好处.
- 像Tele-MOD这样的远程医疗干预措施显示出在老年长期护理机构中改善护理质量和财务效率的巨大潜力.
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