创造一个变革的框架:在昆士兰州过渡到基于价值的医疗保健
Belinda Gavaghan1, Jennifer Finch1, Katelyn Clarke1
1Queensland Health, Brisbane, Qld, Australia.
概括
昆士兰州基于价值的医疗保健保健框架促进公平,可持续的医疗保健,从以临床医生为中心的模式转向以社区为中心的预防性护理. 它指导转型以改善患者体验和结果.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 基于价值的医疗保健 (VBHC) 强调可持续,公平的资源使用,以获得更好的患者和社区结果.
- 澳大利亚政府的举措支持向VBHC转变,从传统的临床医生为中心的模式转变.
- 昆士兰州的VBHC努力仅限于小型,孤立的模型,缺乏为公平交付提供转型变革.
研究的目的:
- 引入昆士兰健康联合健康框架以价值为基础的医疗保健.
- 为转变医疗服务向预防性,以社区为中心的护理提供一个结构.
- 引导临床医生,管理人员和消费者实施基于价值的医疗保健.
主要方法:
- 基于当代VBHC原则和昆士兰环境的框架的开发.
- 包括服务设计和实施的关键考虑因素:护理途径,结果驱动的文化,测量和结果设计.
- 纳入经验教训,强调消费者伙伴关系和领导力支持.
主要成果:
- 该框架为附属卫生服务采用VBHC提供了一个结构化的方法.
- 它强调了关键的成功因素,如消费者参与和价值的共同定义.
- 该框架促进了向预防性健康和改善护理质量的转变.
结论:
- 该框架为将昆士兰州的相关卫生服务转变为VBHC模型提供了一个起点.
- 它主张采用全系统的方法,整合护理途径并促进合作.
- 成功实施需要强有力的领导和持续的伙伴关系,以实现公平和可持续的医疗保健.
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