基于价值的医疗保健:它只是另一个流行词吗?
1Professor, Department of Community Health Sciences, Cumming School of Medicine, Member, O'Brien Institute for Public Health, University of Calgary, Calgary, AB.
基于价值的医疗保健缺乏一个共同的定义和测量标准. 进步需要公众参与和联邦对医疗保健价值的问责制.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健政策分析 政策分析
- 卫生经济学 卫生经济学
背景情况:
- 基于价值的医疗保健 (VBH) 越来越多地在政策界讨论.
- 现有的文献强调了VBH的举措,但缺乏统一的定义.
- 当前的挑战包括衡量医疗保健价值的成本和效益组件的困难.
研究的目的:
- 解决基于价值的医疗保健缺乏共同目标的问题.
- 确定医疗保健价值的成本和收益衡量的局限性.
- 建议在加拿大建立VBH的前进道路.
主要方法:
- 关于VBH的"医疗保健政策"期刊问题文学评论.
- 分析目前在定义和衡量医疗保健价值方面的挑战.
- 开发VBH问责制的概念框架.
主要成果:
- 在VBH的共同定义和目标上显著缺乏共识.
- 在量化医疗价值的成本和效益方面存在重大局限性.
- 在VBH,公众参与和联邦政府领导的需要是显而易见的.
结论:
- 在医疗保健中定义和衡量价值需要协调,协作努力.
- 公共参与对于调整医疗保健系统价值观至关重要.
- 联邦政府的问责制对于实现VBH成果至关重要.
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