为价值做好准备:评估医疗保健转型中的组织文化
Karen Marie Joswick1, Linda Reese2
1School of Population Health, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Population health management
|July 5, 2024
概括
医疗保健行业正在转向以价值为基础的护理 (VBC),专注于患者的结果和降低成本. 组织文化对于VBC的成功至关重要,与五重目标和提供者福祉保持一致.
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
- 组织行为 组织行为
背景情况:
- 医疗保健行业正在从收费服务转向以价值为基础的护理 (VBC).
- 目前的VBC模型主要针对金融和质量指标.
- 在解决VBC实施的文化方面存在重大差距.
研究的目的:
- 突出组织文化的重要性,以成功采用以价值为基础的护理.
- 强调VBC作为一个与五重目标一致的系统进化.
- 强调文化转型在实现VBC目标中的作用.
主要方法:
- 关于医疗保健转型和基于价值的护理的文献综述.
- 分析与组织变革相关的五重目标框架.
- 对VBC实施的文化影响的概念探索.
主要成果:
- 基于价值的护理需要组织文化发生根本性的转变.
- 文化调整对于实现五重目标至关重要:改善患者的治疗结果,提高质量,降低成本和提供者的福祉.
- 组织文化显著影响VBC倡议的成功和可持续性.
结论:
- 将医疗保健转变为以价值为基础的护理,需要刻意关注组织文化.
- 将文化变革与财务和质量指标相结合,对于VBC的成功至关重要.
- 通过文化演变优先考虑提供者的福祉是VBC范式的组成部分.
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