挑战现状:对心脏病学和电生理学中基于价值的护理模式的范围审查
Lucia Osoro1, Maura M Zylla2,3, Frieder Braunschweig3,4
1Department of Cardiology, H.U.B.-Hôpital Erasme, Université Libre de Bruxelles, Rte de Lennik 808, 1070 Bruxelles, Belgium.
概括
基于价值的医疗保健 (VBHC) 模式为心脏病学提供了显著的节约和改善患者的结果. 然而,实施这些以价值为基础的医疗保健模式需要实质性的组织变革和新的报销策略.
科学领域:
- 医疗保健管理的管理
- 心脏病学 心脏病学
- 卫生经济学 卫生经济学
背景情况:
- 基于价值的医疗保健 (VBHC) 模式承诺可观的全球医疗保健节省和增强患者福祉.
- 采用和开发的挑战阻碍了VBHC的广泛实施.
研究的目的:
- 审查有关心脏病学中VBHC模型实施的当前文献.
- 专注于VBHC在心脏电生理学中的应用.
主要方法:
- 采用了一个范围审查方法,遵守PRISMA系统审查指南.
- 在PubMed,Mendeley和ScienceDirect进行的文献搜索,寻找2006-2023年期间的出版物.
主要成果:
- 在心脏病学和电生理学中VBHC的实施是新生的.
- 成功采用需要重组跨职能,以患者为中心的团队和新的报销模式.
- 数据分析和患者管理的技术整合存在实施障碍.
结论:
- VBHC模型可以优化成本,提高患者的护理和体验.
- 实施不足源于需要进行重大基础设施和组织转变.
- 追踪准则的遵守和评估患者报告的结果对于VBHC成功至关重要.
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