建立基于价值的医疗保健:朝着健康系统的前景
Peter C Smith1, Anna Sagan2, Luigi Siciliani3
1Imperial College London, Business School, London, United Kingdom.
本研究介绍了基于价值的卫生系统的政策框架,将价值定义为系统对社会福祉的贡献. 它提供了一个统一的视角,包括健康促进和护理,对于应对现代医疗保健挑战至关重要.
科学领域:
- 卫生政策 卫生政策
- 卫生系统研究 卫生系统研究
- 社会福利 社会福利
背景情况:
- 由于人口老龄化,复杂的疾病,技术进步和公民期望的上升,医疗保健价值的需求不断增加.
- 增加卫生系统价值的现有方法通常集中在医疗保健提供上.
- 需要在卫生系统内调和基于价值的政策的不同方法.
研究的目的:
- 为以价值为基础的卫生系统制定政策框架.
- 扩大价值的视角从医疗保健到整个卫生系统,包括健康促进.
- 将卫生系统价值定义为对社会福祉的贡献.
主要方法:
- 为基于价值的卫生系统制定政策框架.
- 定义卫生系统价值作为对社会福祉的贡献.
- 采用五维价值框架 (健康改善,响应能力,财务保护,效率,公平) 映射到总体福祉.
主要成果:
- 提出了一个统一的卫生系统价值概念,调整不同参与者的观点.
- 该框架将健康促进纳入了卫生系统价值的概念.
- 提供了促进卫生系统价值的政策杆和关键参与者的例子.
结论:
- 基于价值的卫生系统方法,以社会福祉为中心,提供了一个统一的视角.
- 拟议的框架可以协调利益相关者,并指导政策制定.
- 需要解决一个以幸福为中心,以价值为基础的卫生系统的实施挑战.
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