健康不公平的信号：检查大型医疗系统的社会需求和成本。

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES

JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2025-01-01 Epub Date: 2024-10-10 DOI:10.1097/JAC.0000000000000515

Kevin P Fiori, Samantha R Levano, Silvie Colman, Jason Oliveira, Jessica Haughton, Miya Lemberg, Earle C Chambers, Andrew Telzak, Elizabeth Spurrell-Huss, Adam Sirois, Allison Stark, Andrew Racine

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引用次数: 0

摘要

以往的研究表明，健康的社会决定因素是医疗利用、成本和健康结果的驱动因素。在本研究中，我们分别采用线性回归和方差分析的方法，比较了每位患者提供医疗服务的年均总成本，以及与健康相关的社会需求（HRSN）状况和 HRSN 总数。与没有 HRSN 的患者（n = 34 775）相比，HRSN ≥1 的患者（n = 8409）的年成本高出 1772 美元（P＜0.05）。

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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Signals in Health Inequity: Examining Social Needs and Costs in a Large Health System.

Previous research has demonstrated that social determinants of health are drivers of medical utilization, cost, and health outcomes. In this study, we compared the mean annual total cost to deliver health services per patient by health-related social need (HRSN) status and total HRSNs using linear regression and ANOVA, respectively. Patients with ≥1 HRSN (n = 8409) yielded $1772 higher annual costs compared to patients without HRSNs (n = 34 775) (P < .0001). Compared to patients without HRSNs, delivering care to patients with 1 HRSN (n = 4222) cost $1689 (P < .0001) more and to patients with ≥2 HRSN (n = 4187) cost $1856 (P < .0001) more per year.

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来源期刊

JOURNAL OF AMBULATORY CARE MANAGEMENT HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.10

自引率

4.30%

发文量

期刊介绍： The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.