优先考虑基于价值的医疗保健的结果措施:沙特阿拉伯的医生观点
Rawia Abdalla1, Milena Pavlova1, Wim Groot2
1Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Maastricht University Medical Center, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Limburg, The Netherlands.
Value in health regional issues
|June 16, 2023
概括
在沙特阿拉伯,医生优先考虑生存,生活质量和尽量减少不良事件.
科学领域:
- 医疗保健管理的管理
- 健康 结果 研究 研究 结果
- 基于价值的医疗保健
背景情况:
- 沙特阿拉伯正在向以价值为基础的医疗保健过渡.
- 衡量患者的结果对于这种转变至关重要.
- 医生的意见对于定义关键绩效指标至关重要.
研究的目的:
- 确定医生在测量一般患者结果方面的优先事项.
- 为了告知疾病特异性结果集的发展.
- 支持在沙特阿拉伯实施基于价值的医疗保健.
主要方法:
- 在6家沙特医院中对204名医生进行了横截面电子调查.
- 医生优先考虑了6个领域的30个健康结果.
- 相对重要性指数 (RII) 和后勤回归分析了优先级和医生特征.
主要成果:
- 最重要的优先事项包括整体存活率 (89.4% RII),生活质量 (92.4% RII) 和治疗时间 (90.8% RII).
- 最小化不良影响 (72.9% RII) 和医院获得的感染 (89.3% RII) 也得到了很高的排名.
- 医生的资历显著影响了结果测量优先级 (OR 2.693,P=.001).
结论:
- 一套一般的患者结果,包括生存,生活质量和不良事件,对于以价值为基础的医疗保健转型至关重要.
- 这些一般结果应该在过渡过程的早期确定.
- 医生的观点是定义相关和可衡量的健康结果的关键.
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