医疗保健研究中的合法性:系统性审查
Xueying Li1,2, Ana Lúcia Martins3
1Business Research Unit (BRU-IUL), ISCTE-University Institute of Lisbon, Avenida das Forças Armadas, 1649-026, Lisbon, Portugal. lxgiu@iscte-iul.pt.
BMC health services research
|March 8, 2024
概括
医疗保健中的灵活性,结合了精益和敏捷的方法,显示了成本控制和效率的潜力. 然而,经验验证是有限的,突出需要进一步的研究和在医疗保健领域的实际应用.
科学领域:
- 医疗保健管理的管理
- 运营研究 运营研究
- 系统工程 系统工程
背景情况:
- 医疗保健支出不断增加,需要具有成本效益和高效的运营范式.
- 精益和敏捷的方法为改善医疗保健系统性能提供了潜在的解决方案.
- 缺乏对医疗保健合法性的系统审查,促使了这项研究.
研究的目的:
- 系统地审查和综合现有关于医疗保健行业合法性的文献.
- 巩固在医疗保健中的合法的潜在应用和好处.
- 识别研究缺口,并建议未来的研究方向,在 leagile医疗保健.
主要方法:
- 一个系统的文献审查,遵循PRISMA检查清单.
- 在多个数据库中搜索了1999年1月至2023年11月间发表的文章.
- 使用微软Excel和VOSviewer进行双研究员选和分析.
主要成果:
- 从最初的270篇文章中,包括了24篇文章,确定了医疗保健合法性的11个目标领域.
- 成功和限制因素分为政策,组织,人力资源,营销,运营管理和技术.
- 确定了四个重要的研究缺口,并提出了未来研究的建议.
结论:
- 医疗保健中的合法性是一个新兴领域,经验证据有限.
- 成功实施需要标准化,模块化,领导支持和熟练,训练有素的专业人员.
- 建议在各个医疗保健部门进一步探索和验证合法的应用.
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