Alternative measures of resource consumption in home care episodes.
Alternative measures of resource consumption in home care episodes.
复制标题
家庭护理事件中资源消耗的替代措施。
DOI：
10.1046/j.1525-1446.1999.00198.x
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发表时间：
1999
期刊：
影响因子：
--
通讯作者：
Fortinsky,RH
中科院分区：
文献类型：
--
作者：
Madigan,EA;Fortinsky,RH
家庭医疗保健报销的预期变化将需要将重点从基于访问的单位转移到其他一些尚未定义的资源消耗单位。然而，很少有研究来了解资源消耗的其他衡量标准，特别是那些考察学科差异的衡量标准。本研究的目的是提供其他资源消耗衡量指标的经验证据，以此作为框架讨论替代衡量指标的方式。信息来自一项针对俄亥俄州 10 个机构的 102 名家庭保健患者的研究，这些患者完成了一次护理并留在家中。虽然所有学科的每次访问平均时间相似（46 至 55 分钟），但不同学科提供的访问次数存在差异（家庭护理助理服务的平均访问次数最高，为 11.8）。所有服务每天的平均成本为 43.80 美元，而每集的平均成本为 1,160 美元。进一步研究的建议包括使用更严格的抽样方法进行类似的检查，并包括不同的患者群体。
Expected changes in home health care reimbursement will require a shift in focus from a visit‐based unit to some other yet‐to‐be‐defined unit of resource consumption. Little research has been done to understand other measures of resource consumption, however, especially those examining disciplinary differences. The purpose of this study was to provide empirical evidence on other measures of resource consumption as a way to frame discussions on alternative measures. Information is presented from a study of 102 home health care patients from 10 agencies in Ohio who completed an episode of care and remained at home. While the mean time per visit was similar for all disciplines (46 to 55 minutes), there were differences in the number of visits provided by various disciplines (home care aide services had the highest mean number of visits with 11.8). The mean cost per day for all services was $43.80 while the mean cost per episode was $1,160. Recommendations for further research include similar examinations using a more rigorous sampling methodology and including disparate populations of patients.