美国和英国的医疗保健改革:有用的学习领域
David Blumenthal1, Jennifer Dixon
1Harvard Medical School, Harvard University, Boston, MA, USA.
Lancet (London, England)
|October 16, 2012
概括
尽管背景不同,但美国和英国可以从彼此的医疗改革中吸取教训. 相互学习的关键领域包括融资,组织和信息技术的采用,以提高效率和质量.
科学领域:
- 卫生政策 卫生政策
- 医疗保健系统的比较
- 医疗保健管理的管理
背景情况:
- 最近,美国和英国通过了具有里程碑意义的医疗改革法案.
- 两国之间历史背景和医疗保健系统的显著差异.
- 相互学习的潜力,尽管不同的医疗保健景观.
研究的目的:
- 确定美国和英国在医疗改革中相互学习的关键领域.
- 探索在融资,组织和信息技术方面的知识交流机会.
- 通过跨国比较,为改善医疗保健质量和效率提供见解.
主要方法:
- 美国和英国医疗改革倡议的比较分析.
- 识别医疗保健融资,组织和IT方面的新兴趋势.
- 审查新的支付机制和组织结构.
主要成果:
- 美国正在开发新的支付机制 (捆绑支付,绩效支付,基于价值的采购) 和国家审查机构.
- 英格兰更快地采用电子健康记录 (EHR) 来进行质量评估.
- 两国都在建立新的组织结构 (负责任的护理组织,临床委托小组),具有共享学习的潜力.
结论:
- 相互学习在美国和英国的医疗改革中是可行的和有益的.
- 具体的教训存在于支付改革,IT采用 (EHR) 和组织发展方面.
- 协作学习可以推动各国医疗保健质量和效率的提高.
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