[以价值为基础的医疗保健作为个人和系统层面的患者管理机会]
Viktoria Steinbeck1, Merle Louisa Fresemann2, Reinhard Busse2
1Fachgebiet Management im Gesundheitswesen, Technische Universität Berlin, Straße des 17. Juni 135, 10623, Berlin, Deutschland. steinbeck@tu-berlin.de.
Innere Medizin (Heidelberg, Germany)
|August 2, 2024
概括
德国的基于价值的医疗保健 (VBHC) 正在探索患者报告的结果措施 (PROM),但需要将其整合到护理中. 荷兰的例子提供了实施VBHC和改善患者治疗结果的策略.
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
- 医学经济学 医学经济学
背景情况:
- 基于价值的医疗保健 (VBHC) 专注于改善患者相对于成本的结果,利用患者报告的结果措施 (PROM).
- 德国的医疗保健系统面临质量差异和成本上升,对VBHC的兴趣日益增加.
- 实施VBHC对于提高医疗保健效率和患者福祉至关重要.
研究的目的:
- 检查目前在德国内科医学中VBHC的实施情况.
- 从开创性的荷兰例子中确定潜在的VBHC策略.
- 评估在德国和荷兰的PROM和基于价值的报销的作用.
主要方法:
- 分析内科医学中选定的案例研究.
- 专注于PROM在医疗保健中的使用.
- 检查支持VBHC的基于价值的报销模式.
主要成果:
- 德国的举措展示了跨供应商的PROM测量和为VBHC元素提供资金的选择性合同.
- 像Diabeter和荷兰心脏网络这样的荷兰中心提供了开创性的VBHC模型.
- 在德国,PROM测量已经存在,但将其纳入临床实践仍然有限.
结论:
- 德国的举措在PROM测量方面取得了进展,但缺乏在护理中展示的整合.
- 从荷兰VBHC先驱者那里学习可以指导在德国推进PROM的使用.
- 从荷兰的例子中采用策略可能会促进VBHC在德国内科医学中的实施.
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