作者: Laurence C. Baker , Scott J. Johnson , Dendy Macaulay , Howard Birnbaum
DOI: 10.1377/HLTHAFF.2011.0216
关键词: Treatment and control groups 、 Nursing 、 Chronic care 、 MEDLINE 、 Medicine 、 Medicare beneficiary 、 Telehealth 、 Health care 、 Family medicine 、 Quarter (United States coin) 、 Intervention (counseling)
摘要: Treatment of chronically ill people constitutes nearly four-fifths US health care spending, but it is hampered by a fragmented delivery system and discontinuities care. We examined the impact coordination approach called Health Buddy Program, which integrates telehealth tool with management for Medicare beneficiaries. evaluated program's on spending patients two clinics in Northwest who were exposed to intervention, we compared their experience that matched controls. found significant savings among used program, was associated reductions approximately 7.7-13.3 percent ($312-$542) per person quarter. These results suggest carefully designed implemented programs can help reduce such merit continued attention Medicare. Meanwhile, mortality differences treatment control groups intervention may have produced noticeable changes outcomes, leave future research explore these effects fully.