医療の欠陥の原因
Vikas Saini1, Sandra Garcia-Armesto2, David Klemperer3
1Lown Institute, Brookline, MA, USA.
Lancet (London, England)
|January 13, 2017
まとめ
医療資源の過剰利用と過小利用は 世界的に患者を傷つけています この研究は,より良い医療のための解決策を導き出すために,複数のレベルで活動する,金融,知識,パワーダイナミクスの主要なドライバーを特定します.
科学分野:
- 医療サービス研究
- 医療管理
- 医学 の 倫理
背景:
- 医療資源の配分は 世界的に重要な課題です
- 医療サービスの過度な利用と過度の利用は 患者に重大な害をもたらします
- 医療の改善には 根本的な原因を理解することが不可欠です
研究 の 目的:
- 医療資源の過剰利用と不足の多面的な要因を調査する.
- 医療の質が悪い要因を特定する
- ターゲットを絞った介入と解決策の開発を促す.
主な方法:
- 医療資源の利用に影響を与える要因の包括的な見直し
- 金融,知識ベースの,そして権力に関連する領域のドライバーの分析.
- 世界的,国家的,地域的,個々のレベルで ドライバーの検討
主要な成果:
- 貧しい介護は3つの主要な領域の複雑な相互作用によって引き起こされます. 経済的要因,知識/バイアス/不確実性,そして権力/関係です.
- グローバルから個人まで 医療制度のあらゆるレベルで ドライバーが現れます
- 状況特有の要因が これらの要因の影響を大きく左右します
結論:
- 医療の質の低い問題に取り組むには 金融,知識,権力に関わる要因を対象とした システム的なアプローチが必要です
- 介入は,これらのドライバーの相互作用を様々な操作レベルで考慮する必要があります.
- 効果的な医療改革には 背景の要素の微妙な理解が不可欠です
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