在现实世界中节省医疗保健成本:在基于人口的医疗保健中实施CAPABLE
Samantha Curriero1, Hanna Charankevich1, Katherine A Ornstein1
1School of Nursing, Johns Hopkins University, Baltimore, MD, USA.
概括
像CAPABLE这样的社区护理可以通过减少可避免的住院治疗来降低医院的成本. 这种基于证据的服务还改善了老年人的功能结果,并减少了抑郁症.
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
- 公共卫生 公共卫生
背景情况:
- 越来越多的老年人对基于证据的社区服务的需求与降低医疗保健成本的经济压力保持一致.
- 拥有全球预算的医院正在探索以社区为基础的护理干预措施,以减少住院治疗和改善患者的治疗结果.
- CAPABLE计划是一个时间有限的干预措施,旨在增强老年人的日常功能.
研究的目的:
- 评估CAPABLE干预在社区居住的老年人中的健康,利用和成本结果.
- 评估CAPABLE对可避免住院和再入院的影响.
- 确定CAPABLE对医院和保险公司的成本效益和健康益处.
主要方法:
- 使用差异差异方法来比较CAPABLE参与者与非参与者之间的结果.
- 在2016年至2022年期间,从205名参与者收集了数据.
- 分析的重点是健康状况,医疗保健利用率和相关成本.
主要成果:
- 与非参与者相比,CAPABLE参与者显示可避免的医疗费用明显较低 (p = 0.02).
- 虽然在统计学上并不显著,但参与者经历了减少可避免的住院和再入院的趋势.
- 参与者表现出功能结果的显著改善,并报告抑郁症得分下降.
结论:
- 对于拥有全球预算和保险公司的医院来说,CAPABLE干预措施显示了节省成本和改善健康结果的潜力.
- 通过像CAPABLE这样的社区计划减少可预防的住院治疗是控制医疗保健成本的可行策略.
- CAPABLE提供了一个有前途的模式,可以支持老年人在社区中壮成长,同时降低医疗保健支出.
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