Department of Hospital Medicine, Regions Hospital, Minneapolis, MN, USA.
Chief of Staff, Medical Director of Care Management, Regions Hospital/HealthPartners, St. Paul, MN, USA.
Cleve Clin J Med. 2018 Jan;85(1):25-31. doi: 10.3949/ccjm.85a.16082.
A minority of patients consume a disproportionate amount of healthcare, especially in the emergency department. These "high users" are a small but complex group whose expenses are driven largely by low socioeconomic status, mental illness, and drug abuse; lack of social services also contributes. Several promising efforts aimed at improving quality and reducing healthcare costs for high users include care management organizations, patient care plans, and better discharge summaries.
少数患者消耗了不成比例的医疗保健资源，尤其是在急诊部门。这些“高用量患者”是一个人数较少但情况复杂的群体，其费用主要由社会经济地位低、精神疾病和药物滥用造成；缺乏社会服务也有一定影响。一些有前景的努力旨在改善高用量患者的医疗质量并降低成本，包括护理管理组织、患者护理计划和更好的出院小结。
