HealthPartners' Online Clinic For Simple Conditions Delivers Savings Of $88 Per Episode And High Patient Approval
HealthPartners' Online Clinic For Simple Conditions Delivers Savings Of $88 Per Episode And High Patient Approval
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DOI：
10.1377/hlthaff.2012.1157
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发表时间：
2013-02-01
期刊：
影响因子：
9.7
通讯作者：
Gallagher, Jason M.
中科院分区：
文献类型：
--
作者：
Courneya, Patrick T.;Palattao, Kevin J.;Gallagher, Jason M.
在线医疗保健服务相对较新。然而，早期迹象表明，它可以改善患者的护理体验和人口的健康，沿着降低人均医疗保健费用。明尼苏达州的HealthPartners在2010年底推出了一个名为Virtuwell的在线诊所。在超过40，000例病例后，我们报告说，与传统环境中接受的护理相比，每一次的平均成本降低了88美元，临床有效性的指标很强，客户的评价为98%“会推荐”。很有可能将这种节省的费用外推到更大数量的案件中。我们建议需要进行监管改革，特别是围绕州一级的法规，这些法规为在线医疗服务的扩展设置了障碍，例如要求临床医生与患者位于同一州的法规，以及要求临床医生与患者进行过面对面访问的法规。这些改革将鼓励进一步创新，降低成本，改善整个卫生保健系统的消费者获得服务的机会和便利。
The delivery of health care online is relatively new. However, early indications suggest that it can improve the experience of care for patients and the health of populations, along with reducing per capita health care costs. HealthPartners in Minnesota launched an online clinic called virtuwell in late 2010. After more than 40,000 cases, we report an average $88 lower cost per episode compared with care received in traditional settings, strong indicators of clinical effectiveness, and a 98 percent "would recommend" rating from customers. The possibility of extrapolating such savings to larger volumes of cases is compelling. We suggest a need for regulatory reform, particularly around state-level statutes that create barriers to the expansion of online care delivery, such as those that require clinicians to be located in the same state as the patient and those requiring clinicians to have had a previous face-to-face visit with a patient. Such reforms would encourage further innovation and lead to cost reduction and improvements in access and convenience for consumers throughout the health care system.