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Estimating the Cost of a Medical Home Transformation

估算医疗之家改造的成本

基本信息

批准号：
8627466
负责人：
PAUL A FISHMAN
金额：
$ 10万
依托单位：
KAISER FOUNDATION HEALTH PLAN OF WASHINGTON
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-09-30 至 2015-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8627466
关键词：
Estimating Cost Medical Home Transformation

项目摘要

DESCRIPTION (provided by applicant): A recently published systematic review of evidence on patient and staff experiences, process of care, and clinical and economic outcomes attributable to the Patient-Centered Medical Home (PCMH) concluded that "while the PCMH holds promise for improving the experiences of patients and staff and potentially for improving care processes... current evidence is insufficient to determine effects on clinical and most economic outcomes." We propose research to help address the incomplete evidence about the cost of transforming a health care system aligned with medical home principles as well as the change in heath service cost attributable to this transformation. This research will be conducted within Group Health Cooperative, an integrated health care system that provides comprehensive health and preventive services to approximately 450,000 people in an integrated group practice that operates clinics throughout Washington State. The advantage of conducting this research within Group Health is that it is a single organization that both finances health car through a health plan that insures all of its members' health services and directly provides health care through owned and operated primary care clinics and specialty centers. Therefore, we can measure the costs incurred by the health plan of transformation each of its clinics into medical homes as well as the change in costs brought about by this transformation.

描述（由申请人提供）：最近发表的关于患者和工作人员经验、护理过程以及以患者为中心的医疗之家（PCMH）的临床和经济结果的证据的系统综述得出结论，“虽然PCMH有望改善患者和工作人员的经验，并可能改善护理过程......目前的证据不足以确定对临床和大多数经济结果的影响。“我们建议进行研究，以帮助解决有关按照医疗之家原则改造医疗保健系统的成本以及因这种改造而导致的医疗服务成本变化的不完整证据。这项研究将在团体健康合作社内进行，这是一个综合保健系统，在整个华盛顿州经营诊所的综合团体实践中为大约45万人提供全面的健康和预防服务。在Group Health内部进行这项研究的优势在于，它是一个单一的组织，既通过健康计划为健康汽车提供资金，确保其所有成员的健康服务，又通过拥有和经营的初级保健诊所和专业中心直接提供医疗保健。因此，我们可以衡量将其每个诊所转变为医疗之家的健康计划所产生的成本以及这种转变所带来的成本变化。