在荷兰实施基于价值的医疗保健:对多学科团队绩效的定量分析
Henrike J Westerink1,2, Gijs Steinmann3, Maarten Koomans4
1Department of Value Improvement, St. Antonius Hospital, Koekoekslaan 1, 3430EM Nieuwegein, Nieuwegein, 3430 EM, the Netherlands. j.westerink@antoniusziekenhuis.nl.
BMC health services research
|February 21, 2024
概括
在多学科价值改进 (VI) 团队中,基于价值的医疗保健 (VBHC) 的实施显示出适度的进展. 财务方面,包括成本和报销,需要大幅改善,以提高患者价值.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 基于价值的医疗保健
背景情况:
- 全球各地的医院建立了多学科价值改进 (VI) 团队,使用基于价值的医疗保健 (VBHC) 原则来提高患者价值.
- 这些VI团队内VBHC实施的程度没有得到充分的记录.
- 本研究评估了在医院的VI小组中VBHC实施的当前水平.
研究的目的:
- 在多学科价值改进 (VI) 团队中评估基于价值的医疗保健 (VBHC) 实施的现状.
- 确定正在取得良好进展的VBHC实施的特定领域以及需要进一步开发的领域.
主要方法:
- 基于VBHC实施策略和现实世界的经验,开发了一个21个问题调查.
- 该调查分发给25个多学科VI团队,其中140名成员填写了问卷.
- 数据分析包括计算单个问题的中位数和七个定义领域的平均分数.
主要成果:
- 总体平均VBHC实施得分是5.49分中的3.49分.
- "文化和责任"领域的得分最高 (4.11),其次是"测量和改善结果" (3.78) 和"多学科团队" (3.76).
- "成本和报销"领域的得分最低 (2.42),表明VBHC实施的财务方面存在重大差距.
结论:
- 医院VI团队在所有评估的VBHC领域都表现出活动.
- 进一步关注财务方面,特别是成本和报销,对于推进VBHC实施至关重要.
- 开发的调查问卷是未来对VI团队和VBHC进展的评估的一个有价值的工具.
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