Koepp Gabriel A, Manohar Chinmay U, McCrady-Spitzer Shelly K, Levine James A
Endocrine Research Unit, Mayo Clinic, Rochester, MN 55905, USA.
Health Serv Manage Res. 2011 May;24(2):69-74. doi: 10.1258/hsmr.2010.010015.
The goal of health care is to provide high-quality care at an affordable cost for its patients. However, the population it serves has changed dramatically since the popularization of hospital-based health care. With available new technology, alternative health care delivery methods can be designed and tested. This study examines scalable office-based health care for small business, where health care is delivered to the office floor. This delivery was tested in 18 individuals at a small business in Minneapolis, Minnesota. The goal was to deliver modular health care and mitigate conditions such as diabetes, hyperlipidaemia, obesity, sedentariness and metabolic disease. The modular health care system was welcomed by employees - 70% of those eligible enrolled. The findings showed that the modular health care deliverable was feasible and effective. The data demonstrated significant improvements in weight loss, fat loss and blood variables for at risk participants. This study leaves room for improvement and further innovation. Expansion to include offerings such as physicals, diabetes management, smoking cessation and prenatal treatment would improve its utility. Future studies could include testing the adaptability of delivery method, as it should adapt to reach rural and under-served populations.
医疗保健的目标是以可承受的成本为患者提供高质量的护理。然而，自从以医院为基础的医疗保健普及以来，其服务的人群发生了巨大变化。借助现有的新技术，可以设计和测试替代性的医疗保健提供方式。本研究考察了针对小企业的可扩展的基于办公室的医疗保健，即在办公楼层提供医疗保健服务。这种服务方式在明尼苏达州明尼阿波利斯市的一家小企业中的18名员工身上进行了测试。目标是提供模块化医疗保健，并缓解糖尿病、高脂血症、肥胖、久坐不动和代谢性疾病等状况。模块化医疗保健系统受到了员工的欢迎——70%符合条件的员工进行了登记。研究结果表明，模块化医疗保健服务是可行且有效的。数据显示，高危参与者在体重减轻、脂肪减少和血液指标方面有显著改善。本研究仍有改进和进一步创新的空间。扩展服务内容，包括体检、糖尿病管理、戒烟和产前治疗等，将提高其效用。未来的研究可以包括测试服务方式的适应性，因为它应该进行调整以覆盖农村和服务不足的人群。
