[患者血液管理时代的医疗法律和管理问题.]
Matteo Bolcato1, Vanessa Agostini2, Mattia Altini3
1Dipartimento di Neuroscienze, Università di Padova.
Recenti progressi in medicina
|November 30, 2023
概括
患者血液管理 (PBM) 计划优化了患者自己的血液,显著减少了输血需求并提高了安全性. 这种在全球范围内被证明有效的方法强调了许多输血的可避免性,并提高了医疗保健的成本效益.
科学领域:
- 医疗保健管理的管理
- 输血医学 输血医学
- 患者安全 患者安全
背景情况:
- 从历史上看,输血是对贫血的主要治疗方法.
- 范式已经转向积极主动的患者血液管理.
- 随着医疗保健成本的上升和输血风险的增加,需要采取替代策略.
研究的目的:
- 通过患者血液管理 (PBM) 突出贫血管理的范式转变.
- 为了强调减少或消除血液成分的可能性.
- 强调PBM在提高患者安全和降低成本方面的好处.
主要方法:
- 全球转血医学发展趋势的综述.
- 对患者血液管理 (PBM) 计划影响的分析.
- 检查医疗保健机构的变革管理策略.
- 考虑立法框架 (例如,法律第. 24/2017) 宣传PBM. 在2017年.
主要成果:
- PBM 程序能够有效地管理患者自己的血液.
- 显著减少,在许多情况下消除,血液成分的管理是可以实现的.
- 澳大利亚的实施表明,血液的使用在很大程度上是可以避免的.
- 通过减少与输血相关的临床风险,PBM提高了患者的安全性.
- 医疗保险计划导致医疗保健的成本大幅降低.
结论:
- 患者血液管理 (PBM) 代表了与传统输血实践的根本转变.
- 采用PBM对于改善患者结果和医疗保健经济至关重要.
- 未能实施有组织的PBM计划可能会对医疗保健提供者和机构产生法律和伦理影响.
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