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Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

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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...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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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...
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Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

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Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Standards of Care II01:19

Standards of Care II

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Nurses bear specific legal responsibilities under several federal statutes, including:
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Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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相关实验视频

Updated: Jun 11, 2025

Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
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Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease

Published on: August 9, 2024

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临床和经济审查研究所的共享储蓄方法是否会降低基于价值的价格,主要是针对最严重的疾病?

Jason Shafrin1, Shanshan Wang2, Khounish Sharma1

  • 1Center for Healthcare Economics and Policy, FTI Consulting, Los Angeles, CA, USA.

Value in health : the journal of the International Society for Pharmacoeconomics and Outcomes Research
|October 2, 2024
PubMed
概括

临床和经济审查研究所 (ICER) 的共享储蓄假设不成比例地影响罕见,严重和儿科疾病. 这些假设可能会对具有重大经济负担的条件的健康益处价格基准产生负面影响.

关键词:
在ICER中,您可以使用ICER.罕见疾病是一种罕见的疾病.分享储蓄的共享储蓄

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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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相关实验视频

Last Updated: Jun 11, 2025

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Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
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科学领域:

  • 卫生经济学 卫生经济学
  • 药物经济学 药物经济学
  • 临床试验分析

背景情况:

  • 临床和经济审查研究所 (ICER) 在其医疗技术评估中使用共享储蓄假设.
  • 了解这些假设对不同疾病类别的影响对于准确的基于价值的定价至关重要.
  • 最近的FDA批准提供了一个数据集来评估ICER关于新疗法的方法.

研究的目的:

  • 确定最容易受到ICER共享储蓄假设影响的疾病类型.
  • 分析ICER的共享储蓄方法 (50/50和15万美元的成本抵消上限) 如何影响假设疗法的估值.
  • 确定这些经济模式对疾病的影响最大的特征.

主要方法:

  • 提取了2019-2023年期间FDA批准的治疗方法的经济负担和疾病特征.
  • 应用ICER的50/50共享储蓄和15万美元的成本抵消上限方法.
  • 根据这两种方法,评估了假设治愈的可接受成本节约的差异.
  • 描述性地分析与最大影响相关的疾病特征.

主要成果:

  • 分享的储蓄显著降低了对血友病A,急性肝脏病和性夜间血红蛋白尿症的假设治愈的价值.
  • 与负担较低的疾病相比,具有更高年负担 (≥15万美元) 的疾病表现出更早的发病,更低的预期寿命和更低的患病率.
  • ICER的共享储蓄对预期寿命更短,生活质量更差,患病率更低的疾病的健康益处价格基准有更大的预测影响.

结论:

  • 预计ICER的共享储蓄假设将对罕见,严重和儿科疾病的健康益处价格基准产生最严重的负面影响.
  • 这些发现凸显了针对特定疾病群体的新疗法被评价的潜在差异.
  • 可能需要进一步的研究来完善经济模型,以便在各种疾病类型中进行公平的估值.