The impact of a caregiver health education program on health care costs
The impact of a caregiver health education program on health care costs
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DOI：
10.1177/1049731505276045
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发表时间：
2006-01-01
影响因子：
1.8
通讯作者：
Smith, TL
中科院分区：
文献类型：
--
作者：
Toseland, RW;Smith, TL
目的：本研究探讨了健康教育计划（HEP）的医疗保健成本结果，这是一项针对体弱老年人配偶照顾者的社会工作干预。方法：招募105名配偶，并随机分配到HEP或常规护理（UC）。从HMO的管理信息系统中收集了配偶照顾者和照顾者的医疗保健利用和成本数据，每季度递增30个月。结果：结果表明，HEP是成本效益。参与HEP的护理人员和护理接受者的总体医疗保健费用显着低于参与常规护理的人员，门诊费用显着低于参与常规护理的人员。结论：到2年时，参加HEP的照顾者和照顾对象的总成本节省为309，461.14美元。HEP是一种具有成本效益的干预措施，适用于从工作人员模式HMO接受医疗护理的护理人员和护理接受者。
Objectives: This study examined health care cost outcomes resulting from a health education program (HEP), a social work intervention for spouse caregivers of frail older adults. Method: One-hundred five spouses were recruited and randomly assigned to HEP or usual care (UC). Health care utilization and cost data were collected from the HMO's management information system for both the spouse caregivers and care recipients in quarterly increments for a 30-month period. Results: The results indicate that HEP was cost-effective. Caregivers and care recipients who participated in HEP had significantly lower overall health care costs and significantly lower outpatient costs than those who participated in usual care. Conclusions: By 2 years, total cost savings for caregivers and care recipients who participated in HEP was $309,461.14. HEP is a cost-effective intervention for caregivers and care recipients receiving medical care from a staff-model HMO.