Seth A. Berkowitz (
Jean Terranova is director of food and health policy at Community Servings, in Jamaica Plain, Massachusetts.
Health Aff (Millwood). 2018 Apr;37(4):535-542. doi: 10.1377/hlthaff.2017.0999.
Delivering food to nutritionally vulnerable patients is important for addressing these patients' social determinants of health. However, it is not known whether food delivery programs can reduce the use of costly health services and decrease medical spending among these patients. We sought to determine whether home delivery of either medically tailored meals or nontailored food reduces the use of selected health care services and medical spending in a sample of adults dually eligible for Medicare and Medicaid. Compared with matched nonparticipants, participants had fewer emergency department visits in both the medically tailored meal program and the nontailored food program. Participants in the medically tailored meal program also had fewer inpatient admissions and lower medical spending. Participation in the nontailored food program was not associated with fewer inpatient admissions but was associated with lower medical spending. These findings suggest the potential for meal delivery programs to reduce the use of costly health care and decrease spending for vulnerable patients.
为营养脆弱的患者提供食物对于解决这些患者的健康社会决定因素非常重要。然而,目前尚不清楚食品配送计划是否可以减少这些患者对昂贵医疗服务的使用并降低医疗支出。我们试图确定为同时符合医疗保险和医疗补助资格的成年人提供的专门为医学设计的膳食或非定制食品的家庭配送是否可以减少选定的医疗保健服务的使用和医疗支出。与匹配的非参与者相比,在医学上量身定制的膳食计划和非定制食品计划中,参与者的急诊就诊次数都更少。参加医学定制膳食计划的参与者的住院人数也更少,医疗支出也更低。参加非定制食品计划与减少住院人数无关,但与降低医疗支出有关。这些发现表明,送餐计划有可能减少昂贵的医疗保健服务的使用并降低弱势患者的支出。