如何将基于价值的医疗保健扩展到基于人口的医疗保健系统? 为卫生当局定义基于结果的细分模型
Paulus Torkki1, Riikka-Leena Leskelä1,2, Pirjo Mustonen3
1Department of Public Health, University of Helsinki, Helsinki, Finland paulus.torkki@helsinki.fi riikka-leena.leskela@nhg.fi.
本研究介绍了一种基于结果的人口细分模型,用于指导卫生系统实施基于价值的医疗保健 (VBHC). 该模型将人口分为10个部分,帮助卫生当局管理医疗保健服务,以改善人口健康结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 基于价值的医疗保健 (VBHC) 是现代医疗服务提供的一个关键原则.
- 目前的VBHC实施是新生的,并且在各个国家之间不一致.
- 卫生当局 (HA) 需要工具来有效地采用VBHC原则.
研究的目的:
- 为卫生当局开发基于结果的人口细分模型.
- 促进卫生系统实施基于价值的医疗保健 (VBHC).
- 为管理和临床决策提供一个框架,与VBHC保持一致.
主要方法:
- 定义了医疗保健细分模型的原则.
- 综合结果特征与来自文献的人口细分维度.
- 设计了一种流动模型,根据结果创建人口细分.
- 使用国家注册数据估计的细分规模.
主要成果:
- 开发了一个基于结果,目标和测量逻辑的10个细分人口模型.
- 细分包括:健康,帮助,增加风险,轻度可治 (有/没有风险),严重可治 (有/没有风险),单一慢性,多病性和终端.
- 芬兰卫生局的代表发现,这些部分对医疗保健系统的评估和管理有价值.
结论:
- 基于结果的人口细分模型对于旨在实施VBHC的HA至关重要.
- 细分必须利用相关的结果测量逻辑和数据.
- 限制细分数量对于有效的医疗保健系统指导至关重要.
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