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使用风险工具估计预防方法对人群的获益:加拿大安大略省的高资源使用者。

Estimating Population Benefits of Prevention Approaches Using a Risk Tool: High Resource Users in Ontario, Canada.

机构信息

Research Officer, Dalla Lana School of Public Health, University of Toronto, Toronto, ON.

Principal Investigator, Dalla Lana School of Public Health, University of Toronto, Institute for Better Health; Professor, Trillium Health Partners, Toronto, ON.

出版信息

Healthc Policy. 2021 Feb;16(3):51-66. doi: 10.12927/hcpol.2021.26433.

DOI:10.12927/hcpol.2021.26433
PMID:33720824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7957354/
Abstract

BACKGROUND

Healthcare spending is concentrated, with a minority of the population accounting for the majority of healthcare costs.

METHODS

The authors modelled the impact of high resource user (HRU) prevention strategies within five years using the validated High Resource User Population Risk Tool.

RESULTS

The authors estimated 758,000 new HRUs in Ontario from 2013-2014 to 2018-2019, resulting in $16.20 billion in healthcare costs (Canadian dollars 2016). The prevention approach that had the largest reduction in HRUs was targeting health-risk behaviours.

CONCLUSIONS

This study demonstrates the use of a policy tool by decision makers to support prevention approaches that consider the impact on HRUs and estimated healthcare costs.

摘要

背景

医疗保健支出集中,少数人占了大部分医疗保健费用。

方法

作者使用经过验证的高资源用户人群风险工具,在五年内对高资源用户(HRU)预防策略的影响进行建模。

结果

作者估计,从 2013-2014 年到 2018-2019 年,安大略省将有 75.8 万新的 HRU,导致医疗保健费用为 162 亿加元(2016 年加元)。预防 HRU 数量最多的方法是针对健康风险行为。

结论

本研究展示了决策者使用政策工具来支持预防方法,这些方法考虑了对 HRU 和估计的医疗保健成本的影响。

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本文引用的文献

1
Towards Value in an Integrated Care Environment: Early Lessons from an Ontario Health Team.迈向整合照护环境中的价值:安大略省健康团队的早期经验教训。
Healthc Pap. 2020 Feb;19(1):11-18. doi: 10.12927/hcpap.2020.26159.
2
Putting a Population Health Lens to Multimorbidity in Ontario.从人群健康视角审视安大略省的多种慢性病共病情况
Healthc Q. 2018 Oct;21(3):8-11. doi: 10.12927/hcq.2018.25709.
3
Effects of behavioural risk factors on high-cost users of healthcare: a population-based study.行为风险因素对医疗保健高消费人群的影响:基于人群的研究。
Can J Public Health. 2018 Aug;109(4):441-450. doi: 10.17269/s41997-018-0127-5. Epub 2018 Sep 19.
4
What are the effective elements in patient-centered and multimorbidity care? A scoping review.以患者为中心的多病共存护理中的有效要素有哪些?一项范围综述。
BMC Health Serv Res. 2018 Jun 14;18(1):446. doi: 10.1186/s12913-018-3213-8.
5
How Healthy Are Survey Respondents Compared with the General Population?: Using Survey-linked Death Records to Compare Mortality Outcomes.与一般人群相比,调查受访者的健康状况如何?:使用调查关联的死亡记录比较死亡率结果。
Epidemiology. 2018 Mar;29(2):299-307. doi: 10.1097/EDE.0000000000000775.
6
Senior high-cost healthcare users' resource utilization and outcomes: a protocol of a retrospective matched cohort study in Canada.高成本医疗保健高消费人群的资源利用与结局:加拿大一项回顾性匹配队列研究方案
BMJ Open. 2017 Dec 26;7(12):e018488. doi: 10.1136/bmjopen-2017-018488.
7
Predicting High Health Care Resource Utilization in a Single-payer Public Health Care System: Development and Validation of the High Resource User Population Risk Tool.预测单一支付方公共医疗保健系统中的高医疗资源利用:高资源用户人群风险工具的开发和验证。
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8
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