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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Issues And Trends In Healthcare Delivery System01:29

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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...
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Methods Of Healthcare Delivery System01:26

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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...
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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Pharmaceutical Equivalents01:26

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As defined by regulatory standards, pharmaceutical equivalents require generic drug products to have identical dosage forms and chemically identical active pharmaceutical ingredients (APIs). They must adhere to compendial or applicable standards for potency, content uniformity, disintegration times, and dissolution rates. In the case of modified-release dosage forms, variations in drug content are permissible as long as the delivered amount remains consistent with the innovator drug product.
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An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
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Methods for Presenting Real-world Objects Under Controlled Laboratory Conditions
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価値ベースの購買プログラムの現状

Tingyin T Chee1, Andrew M Ryan1, Jason H Wasfy1

  • 1From Department of Medicine, George Washington University School of Medicine and Health Sciences, Washington, DC (T.T.C., W.B.B.); Department of Health Policy, University of Michigan, Ann Arbor (A.M.R.); and Cardiology Division, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston (J.H.W.).

Circulation
|June 2, 2016
PubMed
まとめ
この要約は機械生成です。

価値ベースの購入 (VBP) プログラムは,品質指標に基づいて提供者支払いを調整します. 現在のVBPの影響は限られたものですが,パフォーマンスを向上させ,価値指向のケア提供を支援する機会が存在します.

キーワード:
コストとコスト分析結果評価 (医療)返済メカニズム価値ベースの購入

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科学分野:

  • 健康政策
  • 医療経済学
  • 品質の向上

背景:

  • アメリカの医療制度は 価値に基づく支払いモデルに 移行しています
  • リーズナブルケア法や メディケアのアクセスと CHIP再認可法 (MACRA) のような法律は メディケアの価値を強調しています
  • 民間保険会社は 医療保険の方向性を反映して 価値に基づくアプローチを採用しています

研究 の 目的:

  • 価値ベースの購入 (VBP) プログラムの現在の状況を見直す.
  • VBPの強み,弱み,将来の機会を分析する.
  • 価値指向の医療への移行における VBP の役割を評価する.

主な方法:

  • 実施されたおよび評価された入院および外来VBPプログラムの文献レビュー.
  • VBPに影響を与える政策要因と立法枠組みの分析
  • VBPプログラムの影響とパフォーマンスに関する証拠のまとめ

主要な成果:

  • 既存のVBPプログラムは,医療成果に限界的な影響を及ぼしていることが示されています.
  • 価値に基づく購入は メディケアの支払い戦略の重要な要素です
  • 強化された測定,インセンティブ,設計を通じてVBPの有効性を向上させるための重要な機会が存在します.

結論:

  • 価値に基づく購買プログラムは,現在と将来の医療の提供に不可欠です.
  • 品質の測定,インセンティブの構造,格差の削減の改善は,VBPの成功に不可欠です.
  • VBPは提供者が価値に基づくケアのためのインフラを 開発するための道筋を提供します.