在以价值为基础的医疗保健中解脱价值观 - - 采访研究
Axel Wolf1, Annette Erichsen Andersson2, Ewa Wikström3
1Institute of Health Care Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden and Centre for Person-Centred Care (GPCC), University of Gothenburg, Gothenburg, Sweden.
Leadership in health services (Bradford, England)
|April 18, 2024
概括
基于价值的医疗保健 (VBHC) 实施揭示了临床医生和非临床医生之间对价值的不同看法. 整合患者和非临床医生的观点对于VBHC成功至关重要.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 以患者为中心的护理
背景情况:
- 基于价值的医疗保健 (VBHC) 将医疗保健价值重新定义为与成本相关的患者结果.
- 成功实施VBHC需要了解利益相关者对价值的不同看法.
研究的目的:
- 在瑞典一家医院实施VBHC期间探索利益相关者对价值的看法.
- 告知领导人关于开发基于价值的医疗保健的有效策略.
主要方法:
- 与19名参与VBHC实施的临床和非临床人员进行了半结构化访谈.
- 采访数据的内容分析,以确定关键主题和感知.
主要成果:
- 临床医生认为价值是动态的,优先考虑患者的结果而不是成本控制.
- 非临床人员通过结果-成本相互作用的镜头来感知价值,将VBHC与战略治理联系起来.
- 临床医生认为VBHC是一个专注于患者结果的机会,而不仅仅是降低成本.
结论:
- 在临床医生和非临床医生如何定义VBHC的价值方面存在显著的差异.
- 过度依赖临床医生为中心的价值定义可能会破坏VBHC的核心原则.
- 将患者和非临床医生的价值观与临床观点相结合,对于有效的VBHC至关重要.
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