Schlenker R E, Shaughnessy P W, Hittle D F
Department of Medicine, School of Medicine, University of Colorado Health Sciences Center, Denver, USA.
Inquiry. 1995 Fall;32(3):252-70.
This article examines costs for a national sample of 1,260 Medicare patients receiving home health care from 38 home health agencies. It uses data from a study that compares home health care provided to Medicare beneficiaries in health maintenance organizations (HMOs) and the traditional fee-for-service (FFS) system. The major findings indicate significantly lower costs, based on fewer home health visits, for HMO patients compared to FFS patients, even after adjustment for case mix and other factors. However, FFS patients also attain better outcomes, suggesting that HMOs may provide too few visits to home health patients. At the same time, the number of visits to FFS patients may be greater than is necessary to achieve the better FFS outcomes.
本文研究了从38家家庭健康机构接受家庭医疗护理的1260名医疗保险患者的全国样本的成本。它使用了一项研究的数据，该研究比较了健康维护组织（HMO）和传统按服务收费（FFS）系统中为医疗保险受益人提供的家庭医疗护理。主要研究结果表明，即使在对病例组合和其他因素进行调整之后，HMO患者的家庭医疗护理访视次数较少，成本也显著低于FFS患者。然而，FFS患者也能获得更好的治疗效果，这表明HMO可能为家庭医疗患者提供的访视次数过少。与此同时，对FFS患者的访视次数可能超过实现更好的FFS治疗效果所需的次数。
