在医院护理途径中实现有效的基于价值的医疗保健测量 - - 范围审查
Denise Rodenburg1, Monique Ardon2, Marieke Sijm-Eeken1
1Department of Medical Informatics, Amsterdam Public Health Research Institute, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
Studies in health technology and informatics
|August 23, 2024
概括
本研究确定了基于价值的通用医疗保健 (VBHC) 指标,以简化跨护理途径的质量测量. 标准化这些指标可以减少数据收集工作,并改善VBHC管理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 提高质量 提高质量
背景情况:
- 基于价值的医疗保健 (VBHC) 对于管理医疗保健质量至关重要,因为它将支付与患者的结果和成本效益联系起来.
- 医院在收集,评估和呈现VBHC质量测量的时间密集的过程中面临挑战.
- 在各种护理途径中标准化VBHC指标提供了一个潜在的解决方案,以减少行政负担.
研究的目的:
- 确定用于评估和监测VBHC跨多个护理途径的通用指标.
- 解决像伊拉斯医疗中心这样的机构在管理VBHC数据方面所面临的挑战.
- 为开发支持标准化质量指标的综合医疗信息系统提供基础.
主要方法:
- 对33篇文章进行了全面的范围审查.
- 从文献中系统地提取了VBHC测量的指标.
- 数据被汇总和分类使用Donabedian的结构-过程-结果模型.
主要成果:
- 确定了一组通用指标,用于跨护理途径的VBHC测量.
- 该研究强调了使用共同指标来监测基于价值的护理的可行性.
- 唐纳贝迪模型为确定指标的分类提供了一个强大的框架.
结论:
- 通用VBHC质量测量指标可以简化和增强VBHC管理.
- 标准化指标是减少数据收集工作和提高效率的关键.
- 结果可以指导研究人员,从业者和系统开发人员实施更有效的VBHC策略.
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