经手术医学的基于价值的医疗保健:过程地图和成本计算,以确定最佳实践
David Newton1, Angela M Bader2
1Department of Anesthesiology, Vanderbilt University Medical Center, 1211 Medical Center Drive, Nashville, TN 37232, USA.
Anesthesiology clinics
|January 26, 2024
概括
目前美国的术后护理依赖于收费服务模式,而不是真正的成本. 转向以价值为基础的医疗保健优先考虑患者的结果和实际服务成本,以改善医疗评估和提供.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 手术护理 手术护理
背景情况:
- 目前美国的术后护理主要采用费用服务 (FFS) 模式.
- FFS模型不准确地反映服务的真实成本,导致费用,成本和可变的保险人退款之间的差异.
- 这种系统缺乏对患者为中心的结果与服务成本相对的关注.
研究的目的:
- 评估当前手术期间护理服务费用模式的局限性.
- 引入以价值为基础的医疗保健,作为一种专注于患者结果和成本效益的优质替代方案.
- 展示准确评估外科外科服务成本和价值的方法.
主要方法:
- 使用流程映射来划分服务交付步骤.
- 采用基于活动的时间驱动成本计算 (TDABC) 来确定经营期间服务的实际成本.
- 测量患者退院后的结果,以评估整体护理价值.
主要成果:
- 收费服务模式不与实际服务成本调整收费.
- 过程映射和TDABC可以准确地定义与术后护理相关的实际成本.
- 出院后的结果为评估和提高护理价值提供了基础.
结论:
- 从收费服务过渡到以价值为基础的医疗保健对于改善术后护理至关重要.
- 通过TDABC等方法进行准确的成本评估对于了解护理的真正经济学至关重要.
- 专注于可测量的患者结果与成本相结合,可以持续改善医疗保健价值.
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