下一代医疗保健可持续性指标的指导原则
Matthew J Eckelman1, Ulli Weisz2, Peter-Paul Pichler2
1Department of Civil & Environmental Engineering, Northeastern University, Boston, MA, USA; Department of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, USA.
The Lancet. Planetary health
|August 9, 2024
概括
制定有效的医疗保健可持续性指标对于应对环境挑战至关重要. 目前的指标不足,缺乏与医疗保健特点和公共卫生影响的整合,需要一个新的标准化框架.
科学领域:
- 环境健康 环境健康
- 医疗保健管理 医疗保健管理
- 可持续性科学 可持续性科学
背景情况:
- 医疗保健可持续性指标对于应对环境挑战和气候危机至关重要.
- 目前对医疗保健可持续性的测量框架存在重大缺陷.
- 现有的指标往往是从其他部门调整的,并且缺乏与健康特定指标的整合.
研究的目的:
- 发现当前医疗保健可持续性指标中的缺陷.
- 为下一代医疗保健可持续性指标提出要求.
- 确保指标与医疗保健的核心使命保持一致,并推动系统性变革.
主要方法:
- 对医疗保健可持续性的现有指标的分析.
- 识别当前测量框架中的差距和局限性.
- 对改进指标的要求的概念化.
主要成果:
- 当前的指标往往与医疗保健和公共卫生无关.
- 缺乏一套标准化和一致的医疗保健可持续性概念.
- 现有的卫生系统动态,如私有化,经常被忽视.
结论:
- 下一代指标必须扩大观察范围和干预点.
- 未来的指标需要标准化,可靠性,意义性和与数据系统的集成.
- 解决相互矛盾的激励因素对于医疗保健中的新可持续性指标的有效性至关重要.
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