在以价值为基础的医疗保健中创造价值的心理社会因素:范围审查
Leda Marino1, Vincenza Capone1
1Department of Humanities, University of Naples Federico II, Naples, Italy.
Frontiers in psychology
|April 24, 2024
概括
基于价值的医疗保健 (VBHC) 整合需要关注心理社会方面,以提高质量和资源使用. 本次审查强调了患者参与和组织文化是成功实施VBHC的关键.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 心理社会医学 心理社会医学
背景情况:
- 医疗保健系统正在不断发展,以提高护理质量和资源效率.
- 基于价值的医疗保健 (VBHC) 是一个越来越多地被采用的经济模式来实现这些目标.
- 关于VBHC的现有文献往往忽略了关键的心理社会维度.
研究的目的:
- 进行范围审查,确定和描述基于价值的医疗保健 (VBHC) 的文献.
- 专门研究VBHC文献中的心理社会方面.
- 发现与VBHC的心理社会元素相关的研究缺口.
主要方法:
- 遵守PRISMA指导方针进行范围审查.
- 在APA PsycINFO和PubMed数据库 (2021年1月至8月) 中使用"基于价值的医疗保健"和"心理社会视角"等关键词进行布尔式搜索.
- 三名审查员对70个电子记录进行了独立选,对差异达成共识.
主要成果:
- 包括14个经过同行评审的英语电子记录,包括定量和定性研究.
- 确定四个关键领域:价值链,价值共同创造实践,在接触中共同创造价值,以及在预防性服务中共同创造价值.
- 新兴的主题包括患者组织相互依赖,组织文化和以患者为中心的方法.
结论:
- 将心理社会要素 (患者参与,沟通,支持) 整合到VBHC中,可以提高医疗保健质量和资源优化.
- 需要实践指导来实施基于价值观的护理文化,包括心理社会方面.
- 这一审查为重新设计医疗保健价值提供了基础,支持正在进行的转向以患者为中心的医学的范式转变.
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