扩展的视角:整合临床医生的见解,以获得基于价值的医疗保健中的综合性患者报告结果
Serena Barello1, Roberto Bergamaschi2, Livio Provenzi1,3
1Department of Brain and Behavioural Sciences, University of Pavia, Piazza A. Botta 11, Pavia 27100, Italy.
本研究引入了基于价值的医疗保健 (VBHC) 的综合框架,整合了各种利益相关者的投入和先进的分析,以改善患者的治疗结果和社区福祉.
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
- 卫生经济学 卫生经济学
背景情况:
- 传统的医疗保健质量评估往往忽视了患者和社会价值.
- 基于价值的医疗保健 (VBHC) 旨在优化相对于成本的健康结果.
- 需要一种多维的方法来捕捉医疗保健价值的全部范围.
研究的目的:
- 探索医疗保健中超越临床指标的价值概念.
- 识别和定义不同类型的医疗保健价值.
- 为评估和提高医疗保健系统价值提出综合方法.
主要方法:
- 文献审查和概念分析,以定义价值类型.
- 重点是整合患者和家庭报告的措施 (PROM和PREM).
- 纳入临床医生对治疗可行性和有效性的见解.
- 倡导将机器学习与参与式数据分析方法相结合.
主要成果:
- 确定了四种关键的价值类型:个人,技术,分配和社会.
- 强调了不同利益相关方 (患者,家庭,临床医生) 的观点的关键作用.
- 证明了患者报告结果和临床医生的专业知识对整体质量评估的重要性.
结论:
- 一个全面的VBHC模型需要整合不同的价值维度和利益相关者的投入.
- 机器学习和参与式方法可以增强VBHC的数据驱动质量改进.
- 这种综合方法为患者和社区带来了更好的结果.
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