[痴呆患者病例管理的疗效及成本效益]
[Efficacy and cost effectiveness of case management in patients with dementia].
作者信息
Mostardt S, Matusiewicz D, Schröer W, Wasem J, Neumann A
机构信息
Alfried Krupp von Bohlen und Halbach-Stiftungslehrstuhl für Medizinmanagement, Fachbereich Wirtschaftswissenschaften, Universität Duisburg-Essen, Campus Essen, Schützenbahn 70, 45127, Essen, Deutschland.
出版信息
Z Gerontol Geriatr. 2012 Oct;45(7):642-6. doi: 10.1007/s00391-012-0298-2.
BACKGROUND
The aim of the project was to evaluate case management for patients suffering from dementia in order to improve the quality of care and offer patients a chance to stay at home for a longer time.
METHODS
The evaluation was prospective with a follow-up of 12 months. Data regarding efficacy and costs were taken from one local and three supraregional health insurance funds. Primary outcome was time remaining at home.
RESULTS
Time remaining at home was 16.1 months with a mean of 12.2 months (p=0.02) in the control group. Regarding cost effectiveness, an additional month remaining at home costs between 41 and 53 EUR.
CONCLUSION
Regarding time remaining at home, institutionalization and all-cause death, data indicate that case management seems to be an effective intervention in patients with dementia; however, further evaluations with a major number of observed patients and longer follow-up are necessary.
背景
该项目的目的是评估针对痴呆症患者的病例管理，以提高护理质量，并为患者提供更长时间居家的机会。
方法
该评估为前瞻性研究，随访12个月。疗效和成本数据取自一家地方和三家地区以上的健康保险基金。主要结局是居家剩余时间。
结果
对照组居家剩余时间为16.1个月，平均为12.2个月（p=0.02）。在成本效益方面，多居家一个月的成本在41至53欧元之间。
结论
关于居家剩余时间、机构收容和全因死亡，数据表明病例管理似乎是对痴呆症患者的一种有效干预措施；然而，需要对更多观察对象进行进一步评估并延长随访时间。
Zotero 插件