一种基于初级保健的强化健康行为和生活方式治疗成本工具的开发与应用。
Development and application of a cost tool for a primary care-based intensive health behaviour and lifestyle treatment.
作者信息
Ruggiero Cara F, French Dustin D, Smith Justin D, Perkins Meghan E, Liebhart Janice, Lindros Jeanne, Salmon Jeremiah, Biggs Vincent, Wu Allison J, Wright Davene R, Taveras Elsie M, Fiechtner Lauren
机构信息
Division of General Academic Pediatrics, Department of Pediatrics, Mass General for Children, Boston, Massachusetts, USA.
Department of Ophthalmology and Medical Social Sciences, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.
出版信息
Pediatr Obes. 2025 Jun 18:e70028. doi: 10.1111/ijpo.70028.
OBJECTIVE
This paper aims to describe the development and application of a cost tool to help predict return on investment and sustainability of the Healthy Weight Clinic Family Healthy Weight Program (FHWP) through insurance reimbursement.
METHODS
Case studies to apply the cost tool were conducted with 3 sites to assess the break-even point for clinic patient volume (i.e., financial neutral point: operational costs = revenue) during implementation. Financial neutral points were based on average reimbursement rates per health centre.
RESULTS
The annual fixed cost of the intervention ranged from $65 252 to $79 024. The average revenue ranged from $806-$1663 per patient through medical reimbursement, and the clinics needed to care for an average of 37-81 patients annually to break even.
CONCLUSIONS
Use of an adaptable cost tool that captures reimbursement of clinical provider time and a minimum stream of clinical volume can equip decision-makers in planning financially to implement and sustain a clinically based FHWP.
目的
本文旨在描述一种成本工具的开发与应用，该工具可通过保险报销来帮助预测健康体重诊所家庭健康体重项目（FHWP）的投资回报率和可持续性。
方法
对3个地点进行了应用该成本工具的案例研究，以评估实施期间诊所患者数量的盈亏平衡点（即财务平衡点：运营成本 = 收入）。财务平衡点基于每个健康中心的平均报销率。
结果
该干预措施的年度固定成本在65252美元至79024美元之间。通过医疗报销，每位患者的平均收入在806美元至1663美元之间，诊所每年平均需要诊治37至81名患者才能实现收支平衡。
结论
使用一种适应性强的成本工具，该工具能够涵盖临床提供者时间的报销以及最低限度的临床工作量，可为决策者在财务规划方面提供支持，以实施和维持基于临床的FHWP。
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