开发一个以价值为基础的医疗保健烧伤核心套件,用于成年烧伤护理
I Spronk1, D van Uden2, C A Lansdorp3
1Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, the Netherlands; Association of Dutch Burn Centres (ADBC), Maasstad Hospital, Rotterdam, the Netherlands; Dutch Burns Foundation, Beverwijk, the Netherlands.
概括
一个基于价值的医疗保健 (VBHC) 烧伤核心套件是为成年烧伤患者开发的,专注于患者重要的结果和质量指标,以改善护理. 这个套件现在在荷兰烧伤护理中进行监测,以提高全球患者的治疗结果.
科学领域:
- 医疗保健管理的管理
- 患者报告的结果
- 烧伤护理质量提高 改善烧伤护理质量
背景情况:
- 基于价值的医疗保健 (VBHC) 的实施需要对患者相关结果进行透明的测量.
- 一个标准化的质量指标和结果的核心集对于有效的VBHC在烧伤护理中至关重要.
- 这项研究旨在为成人烧伤患者开发VBHC烧伤核心组.
研究的目的:
- 开发一个基于共识的核心成果和质量指标,以成年烧伤护理的基于价值的医疗保健.
- 为了确定核心组的患者报告的结果仪器和临床测量.
- 建立适当的时间点来评估烧伤患者康复的结果.
主要方法:
- 一项三轮修改后的Delphi研究,涉及患者,烧伤护理专业人员和研究人员.
- 在结果和质量指标上达成共识,使用70%的协议门.
- 文献审查和共识会议确定了VBHC-burns核心集的工具和评估时间点.
主要成果:
- 最初选择了十个结果 (例如,疼痛,伤口愈合,恢复工作) 和四个质量指标.
- 最终的VBHC燃烧核心集包括10个结果和3个质量指标,不包括共享决策 (SDM).
- 评估使用了9种患者报告的结果仪器和在出院时的临床测量以及每年多一次的随访间隔.
结论:
- 一个反映患者和专业优先事项的VBHC燃烧核心集已成功开发.
- 对荷兰烧伤护理中这一核心组件的系统监测和分析旨在改善患者的治疗结果.
- 开发的VBHC-烧伤核心套件为改善烧伤护理质量的国际应用提供了一个模型.
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