Richard Patrick, Ku Leighton, Dor Avi, Tan Ellen, Shin Peter, Rosenbaum Sara
Preventive Medicine and Biometrics, Uniformed Services University, Bethesda, Maryland, USA.
J Ambul Care Manage. 2012 Jan-Mar;35(1):50-9. doi: 10.1097/JAC.0b013e31823d27b6.
This study assesses the potential cost savings associated with the use of community health centers, based on econometric analyses of the 2006 Medical Expenditure Panel Survey. After controlling for health status, health insurance coverage, income, age, and other factors, this study finds that patients who receive a majority of their ambulatory care at community health centers have significantly lower annual overall medical expenditures (24%) and ambulatory expenditures (25%) than those who do not. These results are consistent with other studies indicating that, by providing good quality primary care, community health centers can reduce the utilization of other medical services.
本研究基于对2006年医疗支出小组调查的计量经济学分析,评估了与使用社区卫生中心相关的潜在成本节约情况。在控制了健康状况、医疗保险覆盖范围、收入、年龄和其他因素后,本研究发现,在社区卫生中心接受大部分门诊护理的患者,其年度总体医疗支出(降低24%)和门诊支出(降低25%)显著低于未在社区卫生中心接受大部分门诊护理的患者。这些结果与其他研究一致,表明社区卫生中心通过提供高质量的初级保健,可以减少其他医疗服务的使用。