欧洲基于价值的医疗保健基准评估:从理论转向实践
Borja García-Lorenzo1, Ania Gorostiza1, Itxaso Alayo1
1Biosistemak Institute for Health Systems Research, Torre del Bilbao Exhibition Centre, Barakaldo, Spain.
European journal of public health
|October 24, 2023
概括
这项研究证明了基于价值的国际医疗保健 (VBHC) 在乳腺癌护理中的基准测试的可行性. 在各中心中发现了健康,过程和经济指标的显著差异,使得最佳实践的识别成为可能.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
背景情况:
- 基于价值的医疗保健 (VBHC) 旨在通过改善健康,护理过程和经济成果来提高医疗保健价值.
- 基准测试对于确定最佳实践和改善整个医疗保健组织的质量至关重要.
- 国际基准测试可以促进各种医疗保健系统之间分享数据驱动的最佳实践.
研究的目的:
- 为国际基于价值的医疗保健 (VBHC) 在乳腺癌中的基准测试提供概念验证.
- 建立数据驱动的方法,在国际医疗保健组织之间分享最佳实践.
- 在乳腺癌护理中识别健康,护理过程和经济指标的变化.
主要方法:
- 在VOICE社区 (欧洲医疗保健集群) 中收集患者报告,临床,护理过程和经济结果的数据.
- 使用集群技术识别患者原型.
- 通过经过修改的Delphi方法进行基准测试,开发一套50个指标,利用回归模型控制患者原型和社会人口统计因素.
主要成果:
- 包括来自六个医疗保健中心的690名患者.
- 为了进行基准测试,建立了一套定义的50个健康,护理过程和经济指标.
- 在大多数健康结果,一半的护理过程指标和所有经济指标上,在不同地点观察到具有统计学意义的差异,从而使得性能可以进行比较.
结论:
- 这项研究代表了对乳腺癌VBHC基准测试的第一个国际经验.
- 医疗保健中心之间观察到的指标差异为确定最佳实践和提高医疗保健质量的机会提供了机会.
- 应用的方法有可能在其他医疗条件下推进VBHC基准测试.
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