Development and application of a cost tool for a primary care-based intensive health behaviour and lifestyle treatment.

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2025-06-18 DOI:10.1111/ijpo.70028

Cara F Ruggiero, Dustin D French, Justin D Smith, Meghan E Perkins, Janice Liebhart, Jeanne Lindros, Jeremiah Salmon, Vincent Biggs, Allison J Wu, Davene R Wright, Elsie M Taveras, Lauren Fiechtner

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引用次数: 0

Abstract

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.

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开发和应用以初级保健为基础的健康行为和生活方式强化治疗的费用工具。

目的：本文旨在描述成本工具的开发和应用，以帮助通过保险报销来预测健康体重诊所家庭健康体重计划（FHWP）的投资回报和可持续性。方法：应用成本工具在3个站点进行案例研究，评估实施期间临床患者数量的盈亏平衡点（即财务中性点：运营成本=收入）。财务中立点是根据每个保健中心的平均偿还比率计算的。结果：干预的年固定费用为65 252美元至79 024美元。通过医疗报销，每个病人的平均收入从806美元到1663美元不等，诊所每年平均需要照顾37-81名病人才能实现收支平衡。结论：使用一种适应性强的成本工具，捕捉临床提供者时间和最小临床量流的报销，可以使决策者在财务上计划实施和维持基于临床的FHWP。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.