英格兰初级保健的价值产出的一个多维框架
Margherita Neri1, Patricia Cubi-Molla2, Graham Cookson2
1Office of Health Economics, London, UK. mneri@ohe.org.
Applied health economics and health policy
|July 6, 2024
概括
这项研究引入了一个新的框架,包含51个指标,以更好地衡量英格兰一般实践的估值输出. 这种方法旨在改善对不断增长的患者群体的医疗保健效率和生产率的评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 初级保健管理管理初级保健管理
背景情况:
- 英格兰的一般医疗机构面临着因人口增长而不断增加的医疗需求的挑战.
- 目前的一般实践效率和生产率的衡量标准受限于定义"有价值"输出的非最佳方法.
- 衡量估值产出的强有力的方法对于评估和改善初级保健绩效至关重要.
研究的目的:
- 从医疗保健决策者的角度来看,开发一个多维框架和指标来衡量一般实践的估值输出.
- 解决当前关于初级保健效率和生产力的证据的局限性.
- 为提高初级保健的经济效率和生产力研究提供理论工具.
主要方法:
- 一个有针对性的文献审查确定了现有的初级保健绩效框架.
- 分析了框架,以选择与"有价值"输出一致的维度,重点关注患者健康结果.
- 这些指标是根据国家卫生和护理卓越研究所 (NICE) 的指导制定的,并由临床专家和利益相关者验证的.
主要成果:
- 一个综合的多维框架包括初级保健条件和服务的13个维度.
- 该框架包含51个估值输出指标,每个指标都衡量医疗保健事件及其对患者健康的影响.
- 开发的指标在理论上是合理的,并经过专家的验证.
结论:
- 拟议的多维框架和指标为改善初级保健产出的测量提供了一个新的理论工具.
- 这一框架可以在一般实践中加强对经济效率和生产力的研究.
- 未来的研究应该集中在这些指标的实际可衡量性和分析实施上.
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