Kottmair Stefan, Frye Christian, Ziegenhagen Dieter J
ArztPartner almeda, Munich, Germany.
Health Care Financ Rev. 2005 Fall;27(1):79-87.
Hospital admissions among patients with congestive heart failure (CHF) are a major contributor to health care costs. A comprehensive disease management program for CHF was developed for private and statutory health insurance companies in order to improve health outcomes and reduce rehospitalization rates and costs. The program comprises care calls, written training material, telemetric monitoring, and health reports. Currently, 909 members from six insurance companies are enrolled. Routine evaluation, based on medical data warehouse software, demonstrates benefits in terms of improved health outcomes and processes of care. Economical evaluation of claims data indicates significant cost savings in a pre/post study design.
充血性心力衰竭(CHF)患者的住院治疗是医疗保健成本的主要组成部分。为私人和法定健康保险公司制定了一项针对CHF的综合疾病管理计划,以改善健康状况,降低再住院率和成本。该计划包括护理电话、书面培训材料、遥测监测和健康报告。目前,来自六家保险公司的909名成员已登记参加。基于医疗数据仓库软件的常规评估表明,在改善健康状况和护理流程方面有好处。对索赔数据的经济评估表明,在前/后研究设计中可大幅节省成本。