专业状况管理计划对炎症性肠病患者急诊室访问的影响
Raj Kirit Patel1, Raechel Davis1, Aurel Iuga1
1Payor Solutions, CVS Healthspire™, CVS Health®, Wellesley, MA, USA.
Inflammatory intestinal diseases
|December 1, 2025
概括
参与虚拟护理管理计划显著减少了炎症性肠病 (IBD) 患者的急诊室 (ED) 访问45.7%. 这突显了专业虚拟护理在改善慢性肠道疾病管理方面的潜力.
科学领域:
- 胃肠病学和卫生服务研究研究
- 研究慢性胃肠道疾病的临床管理和医疗保健利用的交集.
背景情况:
- 炎症性肠病 (IBD) 对患者和医疗保健系统构成重大负担,主要是由于经常访问急诊室 (ED).
- 需要有效的管理策略来减少对紧急护理的依赖,并改善患者的治疗结果.
研究的目的:
- 评估虚拟条件管理计划对IBD的商业保险会员中ED使用的影响.
- 评估项目参与度与ED访问频率之间的关联,包括GI相关和非紧急访问.
主要方法:
- 利用商业保险IBD患者的2017-2024年索赔数据.
- 员工倾向得分估计和治疗权重的逆概率,以平衡基线共变量.
- 应用加权负二项式和后勤回归模型来分析项目参与度和ED访问频率之间的关联.
主要成果:
- 与没有参与的成员相比,项目参与与ED访问平均减少45.7%显著相关 (p = 0.007).
- 参与的成员显示,任何 (OR:0.50),GI相关 (OR:0.46) 和非突发性 (OR:0.41) ED访问的几率明显较低.
- 诸如男性性别,较高的查尔森并发症指数得分和以前使用ED的因素也与ED访问频率有关.
结论:
- 与虚拟护理管理计划的参与有效地减少了IBD患者的ED利用率.
- 提供特定疾病专业知识的虚拟计划可以改善疾病管理,减少慢性胃肠道疾病的紧急服务需求.
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