Gateway to Think Tanks
来源类型 | Report |
规范类型 | 报告 |
来源ID | RR-390-RC |
Small Ideas for Saving Big Health Care Dollars | |
Jodi L. Liu; Deborah Lai; Jeanne S. Ringel; Mary E. Vaiana; Jeffrey Wasserman | |
发表日期 | 2014-01-30 |
出版年 | 2014 |
页码 | 12 |
语种 | 英语 |
结论 | In the Substituting Lower-Cost Treatments Category, These Ideas Would Provide the Following Estimated Annual Savings in Millions of 2012 U.S. Dollars (Ranges Indicate Lower and Upper Bounds)
In the Patient Safety Category, These Ideas Would Provide the Following Estimated Annual Savings in Millions of 2012 U.S. Dollars (Ranges Indicate Lower and Upper Bounds)
|
摘要 | A focused review of recent RAND Health research identified small ideas that could save the U.S. health care system $13 to $22 billion per year, in the aggregate, if successfully implemented. In the substituting lower-cost treatments category, ideas are to reduce use of anesthesia providers in routine gastroenterology procedures for low-risk patients, change payment policy for emergency transport, increase use of lower-cost antibiotics for treatment of acute otitis media, shift care from emergency departments to retail clinics when appropriate, eliminate co-payments for higher-risk patients taking cholesterol-lowering drugs, increase use of $4 generic drugs, and reduce Medicare Part D use of brand-name prescription drugs by patients with diabetes. In the patient safety category, ideas are to prevent three types of health care-associated infections: (1) central line-associated bloodstream infections, (2) ventilator-associated pneumonia, and (3) catheter-associated urinary tract infections; use preoperative and anesthesia checklists to prevent operative and postoperative events; prevent in-facility pressure ulcers; use ultrasound guidance for central line placement; and prevent recurrent falls. ,Small ideas do not require systemic change; thus, they may be both more feasible to operationalize and less likely to encounter stiff political and organizational resistance. |
目录 |
|
主题 | Emergency Medical Services ; Health Care Costs ; Medicare ; Otitis Media ; Patient Safety ; Pharmaceutical Drugs ; Prescription Drug Benefits ; United States |
URL | https://www.rand.org/pubs/research_reports/RR390.html |
来源智库 | RAND Corporation (United States) |
资源类型 | 智库出版物 |
条目标识符 | http://119.78.100.153/handle/2XGU8XDN/522402 |
推荐引用方式 GB/T 7714 | Jodi L. Liu,Deborah Lai,Jeanne S. Ringel,et al. Small Ideas for Saving Big Health Care Dollars. 2014. |
条目包含的文件 | ||||||
文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
RAND_RR390.pdf(346KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
x1495315141876.jpg.p(6KB) | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 |
除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。