Health and Aging Department, Rush University Medical Center, Chicago, Illinois, USA.
Health Aff (Millwood). 2013 Mar;32(3):544-51. doi: 10.1377/hlthaff.2012.0170.
A growing evidence base suggests services that address social factors with an impact on health, such as transportation and caregiver support, must be integrated into new models of care if the Institute for Healthcare Improvement's Triple Aim is to be realized. We examined early evidence from seven innovative care models currently in use, each with strong social support services components. The evidence suggests that coordinated efforts to identify and meet the social needs of patients can lead to lower health care use and costs, and better outcomes for patients. For example, Senior Care Options--a Massachusetts program that coordinates the direct delivery of social support services for patients with chronic conditions and adults with disabilities--reported that hospital days per 1,000 members were just 55 percent of those generated by comparable patients not receiving the program's extended services. More research is required to determine which social service components yield desired outcomes for specific patient populations. Gaining these deeper insights and disseminating them widely offer the promise of considerable benefit for patients and the health care system as a whole.
越来越多的证据表明，如果要实现改善医疗保健协会的三重目标，那么必须将影响健康的社会因素服务（如交通和护理人员支持）纳入新的护理模式。我们研究了目前正在使用的七种创新护理模式的早期证据，这些模式都具有强大的社会支持服务组件。有证据表明，协调努力识别和满足患者的社会需求可以降低医疗保健的使用和成本，并改善患者的预后。例如，马萨诸塞州的 Senior Care Options 计划为患有慢性疾病和残疾的成年人协调直接提供社会支持服务，报告称每 1000 名成员的住院天数仅是未接受该计划扩展服务的可比患者的 55%。需要更多的研究来确定哪些社会服务组件为特定患者群体带来了预期的结果。深入了解这些结果并广泛传播它们，有望为患者和整个医疗保健系统带来巨大的利益。
