衡量精神卫生保健提供者的整体绩效
María José Aragón1, Hugh Gravelle2, Adriana Castelli2
1HCD Economics, Daresbury Innovation Centre, Keckwick Lane, Daresbury, Warrington, WA4 4FS, UK.
Social science & medicine (1982)
|February 23, 2024
概括
这项研究引入了一种新的方法来衡量医疗保健提供者的绩效,包括非健康利益和成本. 纳入这些因素显著改变了提供商的评估方式.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 患者报告的结果
背景情况:
- 目前的医疗保健提供者绩效指标往往只关注健康收益和成本.
- 患者和公众对非健康福利的偏好在绩效评估中经常被忽视.
- 需要全面的框架,整合各种利益相关者的价值观.
研究的目的:
- 开发和应用一种用于衡量医疗保健提供者的绩效的新框架.
- 将健康收益,非健康收益和成本纳入一个复合绩效衡量标准中.
- 评估包括非健康福利在提供者绩效排名上的影响.
主要方法:
- 开发了一个提供者绩效测量框架,将健康益处,非健康益处和成本结合起来.
- 利用离散选择实验数据来引起公众对非健康福利的估值.
- 将框架应用于54个英格兰心理健康提供者的行政和患者调查数据 (2013-2015年).
- 计算的等效健康益 (eHB) 和等效净健康益 (eNHB).
主要成果:
- 新的框架使用同等净健康益 (eNHB) 来量化提供者的绩效.
- 包括非健康福利在内的实质性改变了提供者绩效评估和排名.
- 基于eHB的排名与仅基于相当健康益处 (eHB) 和监管机构排名的排名有很大的不同.
结论:
- 医疗保健提供者的绩效评估可以超越健康收益和成本.
- 考虑非健康益处对于更准确,更全面地评估提供者绩效至关重要.
- 这种方法提供了更全面的医疗保健提供者的比较,反映了更广泛的社会价值观.
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