关于管理基于价值的医疗保健绩效的思考:一个范围审查
Hilco J van Elten1, Steven W Howard2, Ivo De Loo1
1Nyenrode Business Universiteit, Breukelen, The Netherlands.
International journal of health policy and management
|August 14, 2023
概括
基于价值的医疗保健 (VBHC) 与绩效管理系统的整合在实践中是有限的. 解决质量护理和财务效率之间的紧张关系对于成功实施VBHC至关重要.
科学领域:
- 医疗保健管理的管理
- 组织战略 组织战略
- 性能测量 性能测量 性能测量 性能测量 性能测量
背景情况:
- 基于价值的医疗保健 (VBHC) 是一种组织和改进医疗保健服务的策略,具有重大管理影响.
- 绩效管理系统通常用于监控和指导组织战略的执行.
- 在文献和实践中,对VBHC的关注越来越大,需要了解其与绩效管理的整合.
研究的目的:
- 调查VBHC在实践中在多大程度上受到绩效管理系统的支持.
- 通过绩效管理,识别和解释影响VBHC成功实施的因素.
主要方法:
- 对医疗保健组织的财务和绩效管理进行了范围审查,采用基于价值的方法.
- 一项系统的搜索在多个数据库中确定了1267篇独特的论文.
- 在标题和摘要选后,对398篇文章进行了全文评估.
主要成果:
- 只有11篇原始论文专门讨论了VBHC和绩效管理系统的整合.
- 大多数申请都集中在特定项目或医学专业,机构整合的例子有限.
- 没有任何论文清楚地将VBHC集成与整体战略执行联系起来.
结论:
- 在提供最佳护理和实现财务效率之间的紧张关系阻碍了VBHC与绩效管理系统的整合.
- 为了成功实施VBHC作为组织战略,需要明确解决这些紧张局势.
- 如果未能解决这些紧张局势,可能会限制VBHC与绩效管理系统集成的实际采用.
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