老年人急救服务改善老年人的健康和护理途径:成本效益分析
Charline Mourgues1, Bienvenu Bongue2,3,4, Caroline Dupré2
1Statistics, DRCI University Hospital of Clermont-Ferrand Clermont-Ferrand France.
Health science reports
|December 11, 2025
概括
一个老年人帮助电话干预被证明是具有成本效益的,减少了老年人的住院治疗. 该服务有助于医疗保健专业人员提高护理质量并保持患者的独立性.
科学领域:
- 老年医学 老年医学
- 医疗保健服务研究 医疗服务研究
- 成本效益分析 成本效益分析
背景情况:
- 住院治疗显著损害了老年人的独立性.
- 预防性干预对于保持老年人的自主性至关重要.
- 老年人帮助线可以支持医疗保健专业人员管理老年患者.
研究的目的:
- 为了评估老年人帮助电话干预的成本效益.
- 评估热线对医疗保健专业人员对老年人护理质量的影响.
- 为了计算实施老年人辅助电话的增量成本效益比率 (ICER).
主要方法:
- 在法国进行的多中心观察性研究 (2018年4月至2020年) 涉及七家医院.
- 从全科医生和医院医生对老年人 (≥75岁) 的帮助电话的分析.
- 社会价值成本效益分析,计算ICER和分析不匹配 (咨询-住院治疗,住院治疗-建议).
主要成果:
- 分析了4137个帮助电话电话,确定了257个"住院建议"和537个"住院建议"不匹配.
- 老年医疗辅助电话显示了成本效益,每次避免不匹配的ICER为2565欧元 (范围为1769-3896欧元).
- 灵敏度分析表明,潜在的成本节约高达4,643,127欧元,在1年模型中结果强.
结论:
- 老年人帮助电话干预是具有成本效益的,取决于呼叫动机和不匹配减少.
- 帮助电话所产生的成本节约可以为全职老年医生提供资金.
- 这种干预措施是改善老年人护理的宝贵模式.
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