Ostovari Mina, Yu Denny, Yih Yuehwern, Steele-Morris Charlotte Joy
School of Industrial Engineering, Purdue University (Ms Ostovari, Dr Yu, Dr Yih); Regenstrief Center for Healthcare Engineering (Dr Yih); School of Medicine, Indiana University (Dr Steele-Morris), West Lafayette, Indiana.
J Occup Environ Med. 2017 Jul;59(7):615-623. doi: 10.1097/JOM.0000000000001034.
To assess impact of an onsite clinic on healthcare utilization of preventive services for employees of a public university and their dependents.
Descriptive statistics, logistic regression and classification tree techniques were used to assess health claim data to identify changes in patterns of healthcare utilization and factors impacting usage of onsite clinic.
Utilization of preventive services significantly increased for women and men employees by 9% and 14% one year after implementation of the onsite clinic. Hourly-paid employees, employees without diabetes, employees with spouse opt out or no coverage were more likely to go to the onsite clinic.
Adapted framework for assessing performance of onsite clinics based on usage of health informatics would help to identify health utilization patterns and interaction between onsite clinic and offsite health providers.
评估一家校内诊所对一所公立大学员工及其家属预防性服务医疗保健利用情况的影响。
采用描述性统计、逻辑回归和分类树技术评估健康索赔数据，以确定医疗保健利用模式的变化以及影响校内诊所使用的因素。
校内诊所实施一年后，女性和男性员工的预防性服务利用率分别显著提高了9%和14%。按小时计酬的员工、没有患糖尿病的员工、配偶选择退出保险或没有保险的员工更有可能前往校内诊所。
基于健康信息学使用情况评估校内诊所绩效的适应性框架，将有助于识别健康利用模式以及校内诊所与校外医疗服务提供者之间的相互作用。
