社区免费诊所的成本效益分析
A Cost-Benefit Analysis of A Community Free Clinic.
作者信息
Stillmank Erin, Bloesl Katie, McArthur Erin, Artz Benjamin, Lancaster Rachelle J
机构信息
a College of Nursing , University of Wisconsin Oshkosh , Oshkosh , WI , USA.
b College of Nursing Librarian , University of Wisconsin , Oshkosh , WI , USA.
出版信息
J Community Health Nurs. 2019 Apr-Jun;36(2):91-101. doi: 10.1080/07370016.2019.1583838.
Uninsured patients lacking access to primary and preventive care continues to be an issue. The purpose of this analysis is to describe operating costs surrounding a nurse-driven freestanding community clinic and to calculate quality of life benefits using clinically preventable burden scores. A retrospective records review of patients (n = 200) receiving care at a free clinic were used. Annual costs were $387,252. The benefit gained in quality-adjusted life years is estimated to be 57.47-203.94 yielding a return on investment ranging from $1,200,264-$8,948,184. Free clinics have sustained cost savings over time. Policies addressing this form of care are imperative.
无法获得初级和预防性护理的未参保患者仍然是一个问题。本分析的目的是描述由护士主导的独立社区诊所的运营成本，并使用临床可预防负担评分来计算生活质量效益。我们对一家免费诊所接受治疗的200名患者进行了回顾性记录审查。年度成本为387,252美元。质量调整生命年的效益估计为57.47 - 203.94，投资回报率在1,200,264美元至8,948,184美元之间。随着时间的推移，免费诊所持续节省了成本。制定针对这种护理形式的政策势在必行。
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