Reduced Healthcare Use and Apparent Savings with Passive Home Monitoring Technology: A Pilot Study
Reduced Healthcare Use and Apparent Savings with Passive Home Monitoring Technology: A Pilot Study
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DOI：
10.1111/jgs.14892
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发表时间：
2017-06-01
影响因子：
6.3
通讯作者：
Pacala, James T.
中科院分区：
文献类型：
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作者：
Finch, Michael;Griffin, Kristen;Pacala, James T.
目的对环境辅助生活技术进行成本分析，这是有前途的提高个人和护理提供者的能力，以监测日常活动，并获得更好的认识，通过积极主动的管理健康和安全。设计三臂队列研究。设置家庭的登记者的国家为基础的医疗保健计划的老年人。残疾人登记者双重资格的医疗保险和医疗补助（N=268）干预措施健康和安全被动远程病人监测系统（PRPM）安装在登记者的家中（干预组）当检测到受试者行为偏离基线时，由病例管理者进行监测和主动干预。收集12个月的测量和索赔数据，以评估干预组的医疗保健使用和费用，并比较使用情况。和两个对照组的成本：一组同时登记的人拒绝了技术和历史队列匹配的年龄参与group.ResultsAlthough小样本量排除成本差异是统计学上显着的，参与组使用实质上更少的监护，急诊科（艾德）服务，住院时间，和艾德成本比两个对照组。PRPM系统与明显的医疗保健成本节约有关。虽然需要进行更多的成本分析，但环境辅助生活技术是老年人护理的潜在有价值的投资。
ObjectivesTo conduct a cost analysis of ambient assisted living technology, which is promising for improving the ability of individuals and care providers to monitor daily activities and gain better awareness through proactive management of health and safety.DesignThree-arm cohort study.SettingHomes of enrollees of a state-based healthcare plan for older adults.ParticipantsEnrollees dually eligible for Medicare and Medicaid (N=268).InterventionHealth and safety passive remote patient monitoring (PRPM) systems were installed in enrollees' homes (the intervention group) with monitoring and proactive intervention of a case manager when deviation from baseline subject behavior was detected.MeasurementsClaims data were collected over 12months to assess healthcare use and costs in the intervention group and to compare use and costs with those of two control groups: a concurrent group of enrollees who declined the technology and a historical cohort matched on age to the participation group.ResultsAlthough the small sample size precluded cost differences that were statistically significant, the participant group used substantially less custodial care, emergency department (ED) services, inpatient stays, and ED costs than the two control groups.ConclusionIn this pilot study, the PRPM system was associated with apparent healthcare cost savings. Although more cost analyses are warranted, ambient assisted living technologies are a potentially valuable investment for older adult care.