Hollingworth Samantha A, Donald Maria, Zhang Jianzhen, Vaikuntam Bharat Phani, Russell Anthony, Jackson Claire
School of Pharmacy, The University of Queensland, 20 Cornwall St., Woolloongabba, QLD 4102, Australia.
School of Medicine, The University of Queensland, Herston, QLD 4006, Australia.
Prim Care Diabetes. 2017 Aug;11(4):344-347. doi: 10.1016/j.pcd.2017.03.009. Epub 2017 Apr 23.
To estimate potential savings for Australia's health care system through the implementation of an innovative Beacon model of care for patients with complex diabetes.
A prospective controlled trial was conducted comparing a multidisciplinary, community-based, integrated primary-secondary care diabetes service with usual care at a hospital diabetes outpatient clinic. We extracted patient hospitalisation data from the Queensland Hospital Admitted Patient Data Collection and used Australian Refined Diagnosis Related Groups to assign costs to potentially preventable hospitalisations for diabetes.
327 patients with complex diabetes referred by their general practitioner for specialist outpatient care were included in the analysis. The integrated model of care had potential for national cost savings of $132.5 million per year.
The differences in hospitalisations attributable to better integrated primary/secondary care can yield large cost savings. Models such as the Beacon are highly relevant to current national health care reform initiatives to improve the continuity and efficiency of care for those with complex chronic disease in primary care.
通过对患有复杂糖尿病的患者实施创新的灯塔式护理模式，评估澳大利亚医疗保健系统可能节省的费用。
进行了一项前瞻性对照试验，将多学科、基于社区的综合初级-二级护理糖尿病服务与医院糖尿病门诊的常规护理进行比较。我们从昆士兰医院住院患者数据收集中提取患者住院数据，并使用澳大利亚细化诊断相关组来为糖尿病潜在可预防住院病例分配费用。
分析纳入了327例由全科医生转诊至专科门诊护理的复杂糖尿病患者。这种综合护理模式每年可为全国节省1.325亿澳元的费用。
由于初级/二级护理整合度提高而导致的住院差异可带来大幅成本节省。灯塔式等模式与当前国家医疗保健改革举措高度相关，这些举措旨在改善初级保健中复杂慢性病患者护理的连续性和效率。
