缺乏医疗服务的原因
Vikas Saini1, Sandra Garcia-Armesto2, David Klemperer3
1Lown Institute, Brookline, MA, USA.
Lancet (London, England)
|January 13, 2017
概括
医疗资源的过度使用和不充分使用对全球患者造成伤害. 这项研究确定了金融,知识和权力动态的关键因素,
科学领域:
- 医疗服务研究
- 医疗管理
- 医学伦理
背景情况:
- 医疗保健资源的分配是一个关键的全球挑战.
- 医疗服务的过度使用和不充分使用会对患者造成重大伤害.
- 了解护理质量差的根本原因对于改善至关重要.
研究的目的:
- 调查医疗资源过度使用和不足使用的多面因素.
- 确定导致护理质量低下的关键因素.
- 为制定有针对性的干预措施和解决方案提供信息.
主要方法:
- 对影响医疗资源利用的因素进行全面审查.
- 分析金融,知识和权力相关领域的驱动因素.
- 在全球,国家,区域和个人层面检查驱动因素.
主要成果:
- 不良的护理是由三个主要领域的复杂相互作用驱动的:财务因素,知识/偏见/不确定性以及权力/关系.
- 这些驱动因素在医疗系统的各个层面都表现出来,
- 这些驱动因素的影响受到特定环境因素的显著影响.
结论:
- 解决医疗保健质量不佳问题需要针对财务,知识和权力相关的驱动因素的系统方法.
- 干预措施必须考虑这些驱动因素在不同操作层面的相互作用.
- 对于一个有效的医疗改革来说, 有关背景因素的细微理解至关重要.
更多相关视频
14:43A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
13.7K
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
1.0K
相关概念视频
Issues And Trends In Healthcare Delivery System
6.3K
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...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.3K
Barriers to Effective Communication II
5.3K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
5.3K
Ethical Issues
2.4K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
2.4K
Methods of Documentation VI: Case Management Model
993
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
993
Introduction To Health Care Delivery System
4.4K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
4.4K
Errors occurring during blood pressure monitoring
1.6K
Blood pressure monitoring is a crucial clinical procedure in diagnosing and managing various cardiovascular conditions. Despite its significance, the accuracy of blood pressure measurements can be compromised by multiple factors, potentially leading to either falsely high or low readings. These inaccuracies are critical as they can significantly impact patient care. So, it is vital to understand these challenges deeply and adopt strategic approaches to minimize errors.
Several factors...
Several factors...
1.6K
