基于价值的医疗保健提供:一个范围审查
Mirian Fernández-Salido1, Tamara Alhambra-Borrás1, Georgia Casanova2
1Instituto de Investigación en Políticas de Bienestar Social (POLIBIENESTAR)-Research Institute on Social Welfare Policy, Universitat de València, 46022 Valencia, Spain.
International journal of environmental research and public health
|February 24, 2024
概括
基于价值的医疗保健 (VBHC) 专注于与成本相对应的患者结果. 成功实施VBHC的关键要素包括领导力,综合护理,标准化结果和患者的观点,以提高医疗保健效率.
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
- 卫生经济学 卫生经济学
背景情况:
- 医疗保健系统正在从以数量为基础的模式转变为以价值为基础的模式.
- 基于价值的医疗保健 (VBHC) 优先考虑患者的健康结果和与成本相关的组织结果.
研究的目的:
- 确定与实施基于价值的医疗保健 (VBHC) 相关的关键要素和结果.
主要方法:
- 2013年至2023年间出版的文献范围审查.
- 在四个数据库进行搜索:SpringerLink,PubMed,ProQuest和Scopus.
- 纳入标准适用于2801篇获取的文章,其中12项研究符合标准.
主要成果:
- 十一项研究将价值定义为患者结果与成本的比率.
- 实施VBHC的突出要素包括领导力,综合护理单位,标准化的以患者为中心的结果措施和患者视角的纳入.
- 确定了VBHC实施的好处,为未来的行动提供了洞察力.
结论:
- 基于价值的医疗保健模式显示出提高医疗保健效率和可持续性的承诺.
- 成功的VBHC实施依赖于战略领导,综合护理结构,并专注于患者报告的结果和经验.
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