Nutrition Interventions Deliver Value in Healthcare: Real-World Evidence

IF 1.3 Q4 NUTRITION & DIETETICS

Nutrition and Dietary Supplements Pub Date : 2020-08-01 DOI:10.2147/nds.s262364

S. Sulo, L. Gramlich, J. Benjamin, S. McCauley, J. Powers, K. Sriram, Kristi R. Mitchell

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引用次数: 3

Abstract

: Value is a key guiding principle in healthcare, yet value is defined in varying ways by different stakeholders. In this paper, we review evidence of the health and financial tolls of malnutrition or poor nutrition, report positive results from recent nutrition-focused quality improvement programs in hospitals, and discuss clinical and policy implications of realizing best-practice nutrition care. Hospitalized patients with malnutrition diagnoses have up to two-fold greater hospital costs for care compared to inpatient stays for adequately nourished patients. By contrast, implementation of nutrition care programs for hospitalized adults (nutrition status screening, assessment and diagnosis of malnutrition, oral nutritional supplements provided when indicated) is associated with substantial per-patient, per-episode healthcare savings approaching $4,000. Improved nutrition care has also been associated with fewer complications and faster recovery (shortened lengths of stay, lower readmission rates). Nutrition care thus delivers value, which is evidenced by better patient outcomes at cost savings to healthcare systems.

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营养干预在医疗保健中发挥价值：真实世界的证据

价值是医疗保健的关键指导原则，但不同的利益相关者以不同的方式定义价值。在本文中，我们回顾了营养不良或营养不良造成的健康和经济损失的证据，报告了最近医院以营养为重点的质量改进计划的积极结果，并讨论了实现最佳实践营养护理的临床和政策意义。诊断为营养不良的住院患者的护理费用比营养充足的住院患者高出两倍。相比之下，对住院成人实施营养护理方案(营养状况筛查、评估和诊断营养不良，在有需要时提供口服营养补充剂)，每位患者每次发作可节省近4,000美元的医疗费用。改善的营养护理也与更少的并发症和更快的恢复(缩短住院时间，降低再入院率)有关。因此，营养护理带来了价值，这可以通过改善患者的治疗结果和为医疗保健系统节省成本来证明。

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

Nutrition and Dietary Supplements NUTRITION & DIETETICS-

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Nutrition and Dietary Supplements is an international, peer-reviewed, open access journal focusing on research into nutritional requirements in health and disease, impact on metabolism and the identification and optimal use of dietary strategies and supplements necessary for normal growth and development. Specific topics covered in the journal include: Epidemiology, prevalence of related disorders such as obesity, diabetes, dyslipidemias Biochemistry and cellular metabolism of nutrients Effect of nutrition on metabolic control Impact of hormones and genetics on nutrient handling Identification of cofactors and development of effective supplementation strategies Dietary strategies Behavior modification Consumer and patient adherence, quality of life Public Health Policy & Health Economics.