French Dustin D, LaMantia Michael A, Livin Lee R, Herceg Dorian, Alder Catherine A, Boustani Malaz A
Health Aff (Millwood). 2014 Apr;33(4):613-8. doi: 10.1377/hlthaff.2013.1221.
Over the past two decades the collaborative care model within primary care has proved to be effective in improving care quality, efficiency, and outcomes for older adults suffering from dementia and depression. In collaboration with community partners, scientists from Indiana University have implemented this model at the Healthy Aging Brain Center (HABC), a memory care clinic that is part of Eskenazi Health, an integrated safety-net health care system in Indianapolis, Indiana. The HABC generates an annual net cost savings of up to $2,856 per patient, which adds up to millions of dollars for Eskenazi Health's patients. This article demonstrates the financial sustainability of the care processes implemented in the HABC, as well as the possibility that payers and providers could share savings from the use of the HABC model. If it were implemented nationwide, annual cost savings could be in the billions of dollars.
在过去二十年中，初级保健中的协作护理模式已被证明在改善患有痴呆症和抑郁症的老年人的护理质量、效率和治疗效果方面是有效的。印第安纳大学的科学家们与社区合作伙伴合作，在健康老龄化大脑中心（HABC）实施了这一模式，该中心是一家记忆护理诊所，是印第安纳州印第安纳波利斯市综合安全网医疗系统埃斯凯纳齐健康的一部分。HABC每年为每位患者节省高达2856美元的净成本，这为埃斯凯纳齐健康的患者累计节省了数百万美元。本文展示了HABC实施的护理流程的财务可持续性，以及支付方和医疗服务提供者分享使用HABC模式所节省费用的可能性。如果在全国范围内实施，每年节省的成本可能达到数十亿美元。
