将医疗保健从量转变为价值:针对改善健康的基本疗法
Candy Tsourounis1, Arjun Chatterjee2, Emily C Pherson3
1Department of Clinical Pharmacy, Medication Outcomes Center, School of Pharmacy, University of California, San Francisco.
The American journal of medicine
|June 12, 2024
概括
基于价值的护理通过改善药物使用来优化医疗保健支出. 这种方法针对某些药物的过度使用和慢性疾病治疗方法的不足,提高患者的治疗结果.
科学领域:
- 医疗保健经济学 医疗经济学
- 临床药房 临床药房
- 医疗保健服务研究 医疗服务研究
背景情况:
- 传统的服务费模式导致医疗保健成本上升.
- 基于价值的护理 (VBC) 通过专注于有效的资源配置来提供解决方案.
- 优化药物和血液制品的使用对于VBC倡议至关重要.
研究的目的:
- 审查基于价值的护理原则对药物和血液制品处方的应用.
- 确定减少浪费和提高治疗疗效的机会.
- 解决关键药物的过度使用和过少使用问题.
主要方法:
- 在药物治疗中基于价值的护理策略的文献综述.
- 对阿片类药物,抗微生物药物和质子抑制剂的处方模式的分析.
- 对慢性疾病的基于指导方针的治疗坚持性的检查.
主要成果:
- VBC提供了一个框架来制与先进成像和急性护理相关的成本.
- 有针对性的干预措施可以减少过度使用昂贵或潜在有害的药物.
- 改善对慢性疾病的基于证据的治疗方法的坚持是非常重要的.
结论:
- 在药物管理中实施VBC原则可以节省大量的成本.
- 需要采用涉及组织承诺和跨学科合作的多方面的方法.
- 优化处方实践是实现基于价值的医疗保健目标的关键.
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