関連する実験動画
Updated: Jul 16, 2026

14:32
Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
医師が医療の未来を変えられる方法
Michael E Porter1, Elizabeth Olmsted Teisberg
1Harvard University, Cambridge, Mass, USA. mporter@hbs.edu
JAMA
|March 16, 2007
まとめ
患者の価値と測定可能な結果に焦点を当てた医師主導の改革は,ヘルスケアにとって不可欠です. このアプローチは,より良い結果のための競争を促進し,患者と医師に利益をもたらし,同時にコストを抑えることができます.
科学分野:
- 医療サービス 研究 医療サービス
- 医学経済学 医学経済学
- ヘルスケア・マネジメント・ヘルスケア・マネジメント
背景:
- 現在の医療改革の取り組みは,しばしば患者の福祉よりもコスト削減を優先し,医師と患者に悪影響を及ぼします.
- 医者のリーダーシップは,医療価値の有意義な改善を推進するために不可欠です.
研究 の 目的:
- 患者価値の向上を中心に,医療改革のための市場ベースの,医師主導の戦略を提案する.
- 結果を改善するために,条件とケアサイクルを中心に医療実践を組織するための原則を概説する.
主な方法:
- 提供者が測定可能な結果に基づいて競争する価値ベースの競争への移行を提唱する.
- リスク調整された結果とコスト測定の重要性を強調し,改善を推進する.
- これらの改革の実施において医師のリーダーシップの必要性を強調する.
主要な成果:
- 価値に基づいた競争は,より良い患者ケア,優れた医師に対する医師の報酬,およびコストの抑制につながる可能性があります.
- 病状やケアサイクルを中心に医療実践を組織することで,効率と効果が向上します.
- 医者が主導する改革は,専門的な満足度を高め,行政の負担を軽減します.
結論:
- 医療改革は,医師のリーダーシップと結果の競争によって推進される患者価値を優先しなければなりません.
- 価値ベースのシステムを導入するには,条件を中心にケアを組織し,結果を測定する必要があります.
- 医者がこの変化を導くことに失敗すると,医療に対する行政統制が強化される危険性があります.
関連する概念動画
Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Current Trends in Nursing II
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
Standards of Care II
Nurses bear specific legal responsibilities under several federal statutes, including: