精神科患者糖尿病护理绩效薪酬计划的有效性：一家地区精神病医院的经验
The Effectiveness of Pay-for-Performance Program of Diabetes Care for Psychiatric Patients: A Regional Psychiatric Hospital Experience.
作者信息
Yang Chin-Chou, Lan Tsuo-Hung, Tsai Wei-Cheng, Guo Ming-Chen, Ng Yee-Yung, Wu Shiao-Chi
机构信息
Institute of Health and Welfare Policy, National Yang Ming Chiao Tung University, Taipei 112, Taiwan.
Tsao-Tun Psychiatric Center, Ministry of Health and Welfare, Nantou 542, Taiwan.
出版信息
Healthcare (Basel). 2021 Nov 17;9(11):1565. doi: 10.3390/healthcare9111565.
BACKGROUND
The Pay-for-performance (P4P) program of diabetes care has demonstrated successful outcomes in patients with type 2 diabetes. However, the effectiveness of this multidisciplinary care model for psychiatric patients has never been evaluated. The objective of this study is to examine the effectiveness of P4P program of diabetes for psychiatric patients with diabetes.
METHODS
This study utilized a retrospective cohort design to examine the effectiveness of P4P program of diabetes care for psychiatric patients with diabetes. The participants' HbA1c (hemoglobin A1c) data of the fourth quarter in 2018 were used as baseline value, while P4P program was not applied yet. HbA1c data of every quarter in 2019 were collected. Generalized estimating equations (GEE) was used to analyze the change of HbA1c level.
RESULTS
The HbA1c level increased slightly in the first quarter, and then decreased gradually since the second quarter. The HbA1c level was significantly lower in the fourth quarter after P4P program intervention ( < 0.05).
CONCLUSION
P4P program of diabetes care is also effective on psychiatric patients with diabetes, and this multidisciplinary care model could be encouraged and promoted for psychiatric patients with diabetes.
背景
糖尿病护理的按绩效付费（P4P）计划已在2型糖尿病患者中取得了成功的成果。然而，这种多学科护理模式对精神科患者的有效性从未得到评估。本研究的目的是检验糖尿病P4P计划对患有糖尿病的精神科患者的有效性。
方法
本研究采用回顾性队列设计，以检验糖尿病护理的P4P计划对患有糖尿病的精神科患者的有效性。参与者2018年第四季度的糖化血红蛋白（HbA1c）数据用作基线值，当时尚未应用P4P计划。收集了2019年每个季度的HbA1c数据。使用广义估计方程（GEE）分析HbA1c水平的变化。
结果
HbA1c水平在第一季度略有上升，然后从第二季度开始逐渐下降。在P4P计划干预后的第四季度，HbA1c水平显著降低（<0.05）。
结论
糖尿病护理的P4P计划对患有糖尿病的精神科患者也有效，这种多学科护理模式可被鼓励并推广应用于患有糖尿病的精神科患者。
Zotero 插件