一种临床共识方法,为安大略省的辐射服务制定一个新的资金模式
Suzanna Apostolovski1, Farzana McCallum2, Carina Simniceanu3
1A lead with the Performance and Accountability team (clinical program) at Ontario Health in Toronto, ON, and has previously worked with the Radiation Treatment Program (RTP). She is also working to improve health services research and enhance communication strategies and knowledge translation for women diagnosed with ductal carcinoma in situ.
Healthcare quarterly (Toronto, Ont.)
|August 12, 2023
概括
安大略省卫生部在2021年实施了放射治疗 (RT) 的新资金模式,将退款与患者护理活动联系起来. 这项倡议涉及200多名专家开发基于证据的协议和质量期望,以提供最佳的癌症护理.
科学领域:
- 在瘤学瘤学.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在2021年,安大略省卫生 (安大略省癌症护理) 推出了一种基于质量的疗法模式,用于辐射治疗 (RT) 资金.
- 这种模式将报销与特定的患者护理活动联系在一起,促进公平和透明度.
研究的目的:
- 详细说明在安大略省开发和实施新的基于质量的辐射治疗融资模式.
- 建立基于证据的协议和质量期望,以实现最佳的RT交付.
主要方法:
- 超过200名放射治疗专业人员 (瘤学家,治疗师,物理学家) 参加了22个专家小组.
- 开发和确定288个基于证据的RT协议和672个质量期望 (QE).
- 对所有已建立的RT协议进行了微成本计算.
主要成果:
- 建立了一个基于质量和患者护理活动的辐射治疗融资的综合框架.
- 定义了基于证据的协议和质量期望,以指导最佳的RT交付.
结论:
- 新的以质量为基础的程序模式确保了安大略省辐射治疗的公平和透明资金.
- 对护理技术和标准的反复审查对于维持安大略省居民高质量的RT至关重要.
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