Allen Fremont is a natural scientist and sociologist at the RAND Corporation in Santa Monica, California.
Alice Y. Kim is a policy analyst at the RAND Corporation.
Health Aff (Millwood). 2018 Sep;37(9):1457-1465. doi: 10.1377/hlthaff.2018.0443.
Before 2011 rates of hospitalization for heart attacks were about the same in San Diego County as they were in the rest of California. In 2011 a multistakeholder population health collaborative consisting of partners at the federal, state, and local levels launched Be There San Diego. The collaborative's goal was to reduce cardiovascular events through the spread of best practices aimed at improving control of hypertension, lipid levels, and blood sugar and through patient and medical community activation. Using hospital discharge data for the period 2007-16, we compared acute myocardial infarction (AMI) hospitalization rates in San Diego County and the rest of the state before and after the demonstration project started. AMI hospitalization rates decreased by 22 percent in San Diego County versus 8 percent in the rest of the state, with an estimated 3,826 AMI hospitalizations avoided and $86 million in savings in San Diego. Results show that a science-based health collaborative can improve outcomes while lowering costs, and efforts are under way to ensure the collaborative's sustainability.
在 2011 年之前，圣地亚哥县的心脏病住院率与加利福尼亚州其他地区基本相同。2011 年，一个由联邦、州和地方各级合作伙伴组成的多利益相关者人口健康合作组织发起了“Be There San Diego”项目。该合作组织的目标是通过传播旨在改善高血压、血脂水平和血糖控制的最佳实践，以及通过患者和医疗社区的激活，来减少心血管事件。利用 2007-2016 年的医院出院数据，我们比较了项目启动前后圣地亚哥县和该州其他地区的急性心肌梗死（AMI）住院率。圣地亚哥县的 AMI 住院率下降了 22%，而该州其他地区仅下降了 8%，估计圣地亚哥县避免了 3826 例 AMI 住院治疗，节省了 8600 万美元。研究结果表明，一个基于科学的健康合作组织可以在降低成本的同时改善结果，目前正在努力确保该合作组织的可持续性。
