与医院获得的疾病相关的价值缺陷:改善质量如何可以为美国医疗保健节省500亿美元
Journal of patient safety
|August 1, 2024
概括
在美国,预防医院获得的疾病 (HAC) 可以节省数十亿美元. 实施基于证据的指导方针和鼓励预防提供了一种具有成本效益的战略,以提高患者安全和医疗保健系统的性能.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 卫生经济学 卫生经济学
背景情况:
- 在美国,医院获得的疾病 (HAC) 是常见的,可以避免的并发症,导致患者死亡率.
- 每年,超过370万患者在医院中获得疾病,这使得美国医疗保健系统的成本超过480亿美元.
- 目前的报销政策惩罚了HAC,但缺乏预防的激励措施.
研究的目的:
- 分析医院获得疾病的经济影响.
- 提出一个基于价值的HAC预防框架.
- 确定政策和系统层面的解决方案,以减少HACs.
主要方法:
- 将"价值缺陷"框架应用于HACs.
- 分析当前的医疗保险和医疗补助服务报销政策.
- 建议卫生系统解决方案,包括电子健康记录跟踪和财务激励.
主要成果:
- 预防HAC可以避免480亿美元的治疗费用.
- 投资预防可以节省超过350亿美元.
- 政策变化可以使金融激励与质量改进保持一致.
结论:
- 转向主动预防HAC是经济上有利的,并改善了患者的治疗结果.
- 实施基于证据的指导方针和鼓励预防对卫生系统至关重要.
- 需要进行政策干预,以奖励医院降低HAC率.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.6K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.6K
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Healthcare Associated Infections I: Iatrogenic, Exogenic and Endogenic
4.1K
Healthcare-associated infections (HAIs) occur in a healthcare facility while a person receives care for another ailment. This category also includes work-related infections among healthcare staff.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
HAIs significantly increase the cost of health care. Extended stays in healthcare institutions, increased disability, increased costs of medications, including specialized antibiotics, and prolonged recovery times add to the patient's expenses and the healthcare institution and funding bodies.
4.1K
Health Information Technology and Healthcare Information System
812
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
812
Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
Introduction To Health Care Delivery System
2.7K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K


