在社区医院网络中识别高成本、高需求患者。

IF 3 Q1 PRIMARY HEALTH CARE Journal of Primary Care and Community Health Pub Date : 2024-01-01 DOI:10.1177/21501319241233410
Gabriel Zdrale, Alison Essary, Stephan Bremer, Wesley Peng, Weiqi Chen, Edward Kalpas
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引用次数: 0

摘要

我们对荣誉医疗集团(HonorHealth)的医疗成本进行了研究,该集团是一家社区学术医疗中心,由 5 家医院和众多非住院医疗机构组成。研究对象包括在 2019 年入院的患者。利用美国国家医学科学院开发的框架,将高费用、高需求(HCHN)患者与所有其他患者在2019年的平均费用进行了比较。高额高需求患者年龄更大(71 岁对 52 岁),女性比例更低(41.7% 对 59.8%),更多是白人(90.1% 对 87.5%),结婚率较低(52.4% 对 54.5%),住院时间更长(6.5 天对 3.0 天),平均费用更高(134743 美元对 16414 美元)。在 0 至 18 岁、19 至 44 岁、45 至 64 岁、65 至 84 岁和 85 岁以上的年龄组中,居家护理组每位患者的平均费用分别为 192 美元、963 美元、165 200 美元、144 584 美元、134 795 美元和 108 356 美元。慢性非典型肺炎患者中有更多人参加了公共保险(49% 对 38%)。对慢性病患者进行有针对性的干预可能会降低医疗成本,改善该系统的健康状况。
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Identifying High-Cost, High-Need Patients in a Network of Community Hospitals.

We examined healthcare costs at HonorHealth, a community-based academic health center comprised of 5 hospitals and numerous ambulatory care facilities. Patient encounters that resulted in admission in 2019 were included in the study. Mean costs in 2019 for high costs and high needs (HCHN) patients were compared with all remaining patients using a framework developed by the National Academy of Medicine. HCHN patients were older (71 vs 52 years), with a lower percentage of females (41.7% vs 59.8%), more frequently White (90.1% vs 87.5%), less frequently married (52.4% vs 54.5%), with a longer length of stay (6.5 vs 3.0 days) and higher mean charges ($134 743 vs $16 414). The mean cost per patient in the HCHN group decreased by age group ($192, 963, $165 200, $144 584, $134 795, and $108 356) for 0 to 18, 19 to 44, 45 to 64, 65 to 84, and 85+ years, respectively. HCHN patients were more publicly insured (49% vs 38%). Targeted interventions to treat HCHN may lead to lower healthcare costs and improved health outcomes within this system.

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来源期刊
CiteScore
4.80
自引率
2.80%
发文量
183
审稿时长
15 weeks
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