Ashton Christopher, Duffie Denise, Millar Jeffrey
Executive vice president of HarbourFront Health Group Inc., a research-intensive healthcare consulting firm.
President of HarbourFront Health Group Inc., a research-intensive healthcare consulting firm.
Healthc Q. 2017;20(2):48-53. doi: 10.12927/hcq.2017.25228.
The Economic Value of Community Paramedicine Programs Study was a randomized controlled trial in two Eastern Ontario communities ߝ one urban and one rural ߝ to determine whether community paramedicine services (the intervention through home visits) would have a positive economic impact through influencing self-perceived quality of life and determining a monetized value. A total of 200 clients who were high-users of healthcare services and had one or more of five chronic diseases (congestive heart failure, chronic obstructive pulmonary disease, hypertension, stroke and diabetes) were recruited in early 2015. These participants were randomly assigned to either the intervention group (receiving community paramedicine services for 12 months) or the control group (receiving conventional treatment). Study results suggest that although quality of life scores decreased for all groups, those receiving community paramedicine services demonstrated significantly less reduction in their scores. Suggestions to further increase cost efficiency of this novel service are given.
社区护理项目研究的经济价值是在安大略省东部的两个社区（一个城市社区和一个农村社区）进行的一项随机对照试验，旨在确定社区护理服务（通过家访进行干预）是否会通过影响自我感知的生活质量并确定货币化价值而产生积极的经济影响。2015年初招募了总共200名医疗服务高使用量且患有一种或多种五种慢性病（充血性心力衰竭、慢性阻塞性肺疾病、高血压、中风和糖尿病）的客户。这些参与者被随机分配到干预组（接受为期12个月的社区护理服务）或对照组（接受常规治疗）。研究结果表明，尽管所有组的生活质量评分均下降，但接受社区护理服务的组评分下降幅度明显较小。文中还给出了进一步提高这项新服务成本效益的建议。
