アメリカン・ハート・アソシエーションの 支払い・配送システムの改革への呼びかけ
Circulation
|July 12, 2017
まとめ
患者中心の医療施設や 責任ある医療機関といった 新しいモデルを採用しています アメリカ心臓協会は 医療従事者に 患者の改善のために これらの改革に取り組むよう促しています
科学分野:
- 医療制度の改革
- 価値に基づく医療モデル
- 心血管と脳卒中のケア
背景:
- 医療制度は 量ベースの支払いモデルから 価値ベースの支払いモデルへと移行しています
- 患者中心の医療施設や 責任ある医療機関や バンドル・ペイメントなどの 代替的な提供・支払いモデルが 導入されています
- これらの変革は 医療の全分野における 重要な変化を必要とします
研究 の 目的:
- 現行の代替決済・配送モデルの見直しと定義
- アメリカ心臓協会で 医療改革への取り組みについて 議論を始めるためです
- これらのモデルが患者のケアに与える影響について 教育と研究を拡大するよう呼びかけます
主な方法:
- 代替の支払い・配送モデルに関する既存の文献のレビュー
- 実施されたモデルによる初期の成果と結果の分析
- 専門家パネルを招集し,勧告を作成する.
主要な成果:
- 早期の結果は,価値に基づくケアへの移行を示し,システムの変革を必要としています.
- 主要な代替モデルと患者のケアへの潜在的影響の特定
- アメリカ心臓協会の医療改革への関与の枠組みの確立
結論:
- 医療改革には全ての医療分野 特に心臓血管疾患と脳卒中の治療の 積極的な関与が必要です
- アメリカ心臓協会は 専門家の理解と新しいケアモデルへの適応を支援し 指導するべきです
- 発展する医療制度の有効性を評価するには 研究を優先することが重要です
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