如何在有限的预算下在瘤护理中创造价值? 一个叙事审查
Cilla E J Vrinzen1, Haiko J Bloemendal2, Patrick P T Jeurissen1
1Scientific Institute for Quality of Healthcare, Radboud University Medical Centre, Nijmegen, The Netherlands.
Expert review of pharmacoeconomics & outcomes research
|August 31, 2023
概括
定义癌症护理的价值对于可持续的医疗保健至关重要. 将重点从个体患者价值转移到人口层面的价值创造,为改善瘤学结果提供了一种可持续的方法.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- 越来越多地关注瘤学中以患者为中心的护理.
- 对医疗保健系统可持续性的压力越来越大.
- 关于在医疗保健中定义价值的讨论重新出现.
研究的目的:
- 思考瘤学中的价值概念.
- 探索将患者价值纳入退款决策.
- 确定替代策略,以增加癌症护理的价值.
主要方法:
- 科学文献的系统审查.
- 分析医疗保健中的价值概念.
- 讨论在瘤学中创造价值的战略.
主要成果:
- 医疗保健中的价值是多方面的.
- 由于资源分配的需要,将所有个体患者的价值纳入退款是不可行的.
- 建议转向为整个癌症患者群体创造价值.
结论:
- 提高瘤学价值的策略包括共享决策,生物标志物,适当的药物评估,支持性护理,癌症预防,晚效监测,护理集中和并发症管理.
- 战略规划,一致的癌症政策和数据可用性是必要的先决条件.
- 将价值辩论重新导向到人口层面的利益是可持续瘤护理的关键.
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