Systematic Review of Programs Treating High-Need ….docx

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1、APPENDIXAppendix Table Al: Highly Successful Patient Satisfaction Outcomes for Programs Treating High Cost High Needs People (N=3) Study, YearPatient Satisfaction OutcomesReported Outcome at End of Follow-UpStatistical Measure of EffectTest of SignificanceControlIntervention GroupFriedman,2009aPatie

2、nt improved health (mean scale)3.453.61t=2.24p .05Patient satisfaction with nurse tool (mean scale)3.383.6(=2.26p .05Patient satisfaction with nurse relationship (mean scale)4.214.35t=2.73p.05Patient satisfaction with primary care providcr/hcalth provider (mean scale)3.353.56t=2.32p .05Patient gener

3、al satisfaction with nurse intervention (mean scale)3.724.0t=3.9p.05Patient satisfaction with primary care partnership meeting (mean scale)3.353.73t=3.24p.0lCaregiver satisfaction with primary care provider/health provider (mean scale)3.643.77t=1.87p.lCaregiver satisfaction with nurse help to reduce

4、 caregiver stress (mean scale)2.642.85t=2.17p .05Gellis.2012bSF-36 subscale general health(mean)41.548.4F=3.91p.016SF-36 subscale social functioning(mean)46.456.3F=3.64p.014Luptak. 2010Overall positive response to device (%)79.3NRDid not have difficulty with device (%)94.6NRLikely to very likely to

5、continue to use device (%)78.5NRSatisfied to very satisfied with device (%)86NRStudy, YearPatient Satisfaction OutcomesReported Outcome at End of Follow-UpStatistical Measure of EffectTest of SignificanceControlIntervention GroupEasy to very easy to use device (%)96.8NRImproved communication between

6、 themselves and primary health care provider (%)49.5NRNo control group in this study. Values under ,Control* represent 1() month follow-up and those under Intervention* represent 20 month follow-up bA dificrcncc between control and intervention groups was not found. Values under ,Control* represent

7、baseline data for the intenention and values under Intervention: represent 3 month follow-up outcomes.NR= nol reported: NA=not applicable; SF36= Medical Outcomes Study of Health Related Quality of Life; AOR= Adjusted odds ratio: CE=Coefficienl es(ima(eControl represent baseline data for the inlervun

8、lion group and (he intervention group represents outcomes at 12 months.Appendix Table A2: Highly Successful Clinical Outcomes for Programs Treating High Cost High Needs People (N=14)Study, YearClinical OutcomesReported Outcome at End of Follow-UpIntervention GroupStatistical Measure of EffectTest of

9、 SignificanceControlIntervention GroupAlexopoulous,201112-iietn World Health Organization Disability Assessment Schedule II (WHODAS II) weeks 12 to 36 (disability during treatment)NA-2.14t=-2.46p=.01Blank, 2011Difference on the log of viral load at 12 months compared to baselineNA-.361t=l.30pc.OOlCo

10、inart, 2013Depression (effect estimate difference per quarter of control vs. intervention group)NA-.11p=.03lDeliriumNA-.05p=.44OFallsNA-.06p=.374PainsNA-.06p=.34lSkin ulcersNA-.07p=.322Shortness of breathNA-.11p=.14lWeight lossNA.03p=.72ONumber of medicationsNA-.09P=.2I3Physician ordersNA-.16p=.l30H

11、ospitalizationsNA-.08p=,363ER visitsNA-.92p001Composite of all outcomesNA-.27p.00lGellis.2012Depression Post-treatment(mean PHQ-9 score)15.214.9p.008Depression Basciinc(mean PHQ-9 score)13.67.4Hemoglobin Ale change from baseline at 3 monihs(mean)-0.07-0.4h-0.44cF=3.47p=.03dStudy, YearClinical Outcom

12、esReported Outcome at End of Follow-UpIntervention GroupStatistical Measure of EffectTest of SignificanceControlIntervention GroupHemoglobin Ale change from baseline a( 12 momhs(mean)-0.33-0.17,-0.19CF=.43p=.65dSystolic blood pressure change from baseline to 12 mon(hs(mean scale)3.34OM-4.92cF=3.84p=

13、.02dGutgsell,2013Pain(NRS mean score) Pre6.416.69NRp.000lPain(NRS mean score) Post5.864.74Pain(FPS mean)2.32.38XRpc.OOOlPain( FPS mean)2.191.76Jcrant, 2009Illness Management Self-efficacy Score at 6 weeks (mean)7.27.67.2NRp=.00lIllness Management Self-efficacy Score at 6 months (mean)7.27.57.3NRp=.O

14、4Illness Management Sclf-cfficacy Score at 1 yearfmean)7.27.47.2RNRPhysical component summary score (PCS-36) at 6 weeks (mean)37.334.936.3NRNRPCS-36 at 6 months (mean)37.236.237.5NRRPCS-36 at 1 year (mean)37.035.136.4NRNRMenial component summary score (MCS-36) at 6 weeks (mean)48.651.648.6NRNRMCS at 6 months (mean)48.049.648.0XRXRMCS at 1 year (mean)48.551.248.5

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