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Frugal Innovations Health Care Programs at the Community Level

Frugal Innovations Health Care Programs at the Community Level
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摘要 Recent experience in some countries has suggested that the use of frugal innovations can be valuable. These initiatives can reduce health care expenses by substituting less costly services for more expensive ones and by limiting the organizational costs of maintaining these programs. These approaches have been defined as doing more with less. This study described the use of frugal approaches to improve the efficiency of care by providers in the metropolitan area of Syracuse, New York. In these programs, numbers of hospital patient days were reduced by discharging patients to long term care services. Hospital emergency department utilization was also monitored and managed at the community wide level. The utilization of hospital admissions per population was also limited. The three programs described in this study were implemented with annual staff expenses of $127,000. This amounted to only about $42,000 annually per hospital. The development and use of these frugal innovations was made possible through cooperation among providers and use of a single organization, the Hospital Executive Council to coordinate the programs. Recent experience in some countries has suggested that the use of frugal innovations can be valuable. These initiatives can reduce health care expenses by substituting less costly services for more expensive ones and by limiting the organizational costs of maintaining these programs. These approaches have been defined as doing more with less. This study described the use of frugal approaches to improve the efficiency of care by providers in the metropolitan area of Syracuse, New York. In these programs, numbers of hospital patient days were reduced by discharging patients to long term care services. Hospital emergency department utilization was also monitored and managed at the community wide level. The utilization of hospital admissions per population was also limited. The three programs described in this study were implemented with annual staff expenses of $127,000. This amounted to only about $42,000 annually per hospital. The development and use of these frugal innovations was made possible through cooperation among providers and use of a single organization, the Hospital Executive Council to coordinate the programs.
出处 《Case Reports in Clinical Medicine》 2018年第2期168-176,共9页 临床医学病理报告(英文)
关键词 Health CARE COSTS HOSPITAL LENGTHS of Stay Long TERM CARE HOSPITAL ADMISSIONS Health Care Costs Hospital Lengths of Stay Long Term Care Hospital Admissions
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