改善辅助生殖技术生育护理途径成本和结果的议定书:使用成本测量和过程挖掘的研究
Maura Leusder1, Hilco J van Elten2, Kees Ahaus3
1Erasmus School of Health Policy and Management, Erasmus University Rotterdam, Rotterdam, The Netherlands leusder@eshpm.eur.nl.
BMJ open
|June 6, 2023
概括
这项研究引入了一种新的方法来衡量生育护理的真实成本,使提供者能够提高患者价值. 通过分析治疗成本和怀孕的时间,我们的目标是增强基于价值的医疗保健服务.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 生殖医学 生殖医学
背景情况:
- 基于价值的医疗保健 (VBHC) 需要评估与成本对照的护理结果,但提供者在准确的成本测量方面扎.
- 研究中缺乏成本数据,阻碍了对医疗保健价值的评估和改进.
- 复杂的生育护理路径为成本分析和价值指导带来了独特的挑战.
研究的目的:
- 在生育护理中设计和实施价值测量和流程改进研究.
- 开发一种方法,准确测量非手术生育治疗的总成本.
- 识别生育服务过程改进和成本预测的机会.
主要方法:
- 顺序研究设计,以计算生育治疗护理总成本.
- 使用时间驱动,基于活动的成本计算与观察和过程挖掘相结合.
- 对包括试管婴儿和IUI在内的关键生育治疗进行映射活动和流程.
- 在大型队列中利用电子健康记录数据进行成本和结果测量.
主要成果:
- 该研究建立了一种方法,将各种数据源结合起来,用于成本和结果的测量.
- 识别在生育护理途径中的流程改进机会和成本预测因素.
- 证明了测量复杂,非线性患者旅程的护理成本的可行性.
结论:
- 开发的方法允许对复杂的护理途径进行准确的成本测量,支持以价值为基础的医疗保健.
- 这种方法为医疗领导者提供了宝贵的见解,以引导他们提高生育服务价值.
- 该研究提供了一个可扩展的成本和结果测量模型,适用于各种医疗保健环境.
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