解开价值方程:基于价值的医疗保健向前迈出了一步
Borja García-Lorenzo1, Itxaso Alayo1, Arantzazu Arrospide2
1Biosistemak Institute for Health Systems Research, Torre del Bilbao Exhibition Centre, Barakaldo, Basque Country, Spain.
European journal of public health
|June 15, 2024
概括
这项研究开发了一种方法,将以患者为中心的结果 (PCO) 结合到基于价值的医疗保健 (VBHC) 的单一数字中. 这种方法提供了一个比传统的与健康相关的生活质量 (HRQoL) 更具信息性的衡量标准,用于基准和支付.
科学领域:
- 卫生经济学 卫生经济学
- 患者报告的研究结果研究结果
- 基于价值的医疗保健指标
背景情况:
- 基于价值的医疗保健 (VBHC) 的价值方程缺乏标准化的单一数字,原因是聚合以患者为中心的结果 (PCO) 的挑战.
- 目前的VBHC框架往往是理论性的,阻碍了实际的决策和基准测试.
研究的目的:
- 估计各种PCO的权重,为VBHC方程创建单一的分数值.
- 通过开发可量化的价值指标,推进VBHC的实际应用.
主要方法:
- 分析了6个欧洲医院 (2019-20) 的690名乳腺癌患者队列,并对其进行了6个月的随访.
- 收集了患者报告的结果 (PRO),临床相关的结果 (CRO) 和临床/人口统计数据.
- 使用回归分析来确定PCO的权重,形成一个复合指标 (CI-PCO).
主要成果:
- 疼痛,身体功能,情绪功能和工作能力在CI-PCO中获得了最高的权重.
- 在灵敏度分析中,衍生出来的PCO权重在灵敏度分析中是强大的.
- 综合性PCO指标 (CI-PCO) 证明比与健康相关的生活质量 (HRQoL) 更具信息性.
结论:
- 这项研究介绍了第一个将ICHOM提出的PCO结合为VBHC的单一分子数字的方法.
- 开发的指标促进了整个医疗保健中心的整体基准和基于价值的支付模式.
- 该方法为其他医疗条件的应用提供了一条途径,以加强VBHC的实施.
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