相关实验视频
重新定义全球医疗保健的提供
Jim Yong Kim1, Paul Farmer, Michael E Porter
1The World Bank Group, Washington, DC, USA.
Lancet (London, England)
|May 24, 2013
概括
解决贫困和严重疾病需要综合医疗保健服务. 一个新的框架使用价值链来改善对艾滋病毒/艾滋病等疾病的护理,确保更好的患者结果和经济发展.
科学领域:
- 全球健康 全球健康
- 医疗保健提供系统 医疗保健提供系统
- 医疗保健服务研究 医疗服务研究
背景情况:
- 贫困和严重疾病呈现出复杂的,未得到满足的需求,往往通过分散的,未经评估的举措来解决.
- 现有的对健康干预措施的评估往往是狭的,重点是单一问题的成本效益,而不是整体的患者价值.
- 有效的全球医疗保健服务需要系统层面的方法来满足复杂的患者需求.
研究的目的:
- 为全球医疗保健提供和评估提出一个框架.
- 为系统层面的分析引入护理供应价值链的概念.
- 引导卫生倡议的整合,以改善患者的治疗结果和经济发展.
主要方法:
- 在资源贫困的环境中利用艾滋病毒/艾滋病护理作为模式.
- 通过护理提供价值链应用系统层面的分析.
- 将垂直项目整合到共享基础设施中,并将交付与当地环境和健康的社会决定因素保持一致.
主要成果:
- 护理供应价值链使我们能够全面分析高价值护理所需的干预措施.
- 集成到共享基础设施中优化了资源利用和规模经济.
- 与当地环境和社会决定因素的调整可以提高健康结果,促进公平的发展.
结论:
- 系统层面的框架,包括护理交付价值链,对于改善全球医疗保健至关重要.
- 整合分散的倡议和与当地环境保持一致对于为面临贫困和疾病的患者提供价值至关重要.
- 投资于护理服务可以同时促进健康公平和经济发展.
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