Cost Estimates for Designing and Implementing a Novel Team Care Model for Chronically Ill Patients.
Cost Estimates for Designing and Implementing a Novel Team Care Model for Chronically Ill Patients.
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为慢性病患者设计和实施新型团队护理模式的成本估算。
DOI：
10.1097/jac.0000000000000209
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发表时间：
2018
期刊：
影响因子：
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通讯作者：
Tai-Seale,Ming
中科院分区：
文献类型：
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作者：
Panattoni,Laura;Dillon,Ellis;Hurlimann,Lily;Durbin,Meg;Tai-Seale,Ming
人们对实施慢性护理模式的成本知之甚少。我们估计人力资源成本的实施一个新的基于团队的慢性护理模式“冠军”，在一个大型的多专业团体实践。我们使用基于活动的成本法来计算1个有12000名慢性护理患者的诊所从开发到推出和稳定的成本。分析的数据包括Microsoft Outlook会议元数据、支持文档和2014年员工工资。实施过程耗时29个多月，涉及168名员工，花费了该组织2 304 787美元。支付方可能需要考虑混合支付模式，以支持基于团队的慢性护理的实施和维护成本。
Little is known about the cost of implementing chronic care models. We estimate the human resource cost of implementing a novel team-based chronic care model “Champion,” at a large multispecialty group practice. We used activity-based costing to calculate costs from development through rollout and stabilization in 1 clinic with 12 000 chronic care patients. Data analyzed included Microsoft Outlook meeting metadata, supporting documents, and 2014 employee wages. Implementation took more than 29 months, involved 168 employees, and cost the organization $2 304 787. Payers may need to consider a mixed-payment model to support the both implementation and maintenance costs of team-based chronic care.