概括
医生对测试使用的反减少了血液测试和X光学检查的订单14.2%. 这种成本反干预措施有效地降低了内科医生之间的诊断测试利用率,而不是收益反或单独的教育.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 改善临床实践的改善
- 医学经济学 医学经济学
背景情况:
- 诊断测试的过度利用有助于提高医疗保健成本.
- 在医生为常见的血液检查和X光学图所订购的模式中存在变化.
- 需要有效的干预措施来优化医疗保健机构的测试利用.
研究的目的:
- 评估三项干预措施对内科医生使用常见诊断测试率的影响.
- 为了比较成本反,收益反和教育计划在减少测试利用率方面的有效性.
- 评估这些干预措施对医生测试订单变化的影响.
主要方法:
- 一项涉及卫生维护组织内科医生的交叉设计研究.
- 干预措施包括对个别测试使用率 (成本反) 的保密同行比较.
- 其他干预措施是对异常测试结果率的反 (收益反) 和测试特定教育.
主要成果:
- 在成本反期内,12种常见的血液检测和X光学图的总体使用量下降了14.2%.
- 在12个测试中,有11个测试显示使用量减少了成本反.
- 收益反和教育干预措施没有显示出对测试利用率或可变性的一致影响.
结论:
- 使用率的保密同行比较 (成本反) 是减少内科医生使用诊断测试的有效策略.
- 收益反和教育干预措施在修改医生测试订购行为方面效果不佳.
- 费用反还表明,医生之间测试订单的变化显著减少.
相关概念视频
Methods Of Healthcare Delivery System
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 limited...
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 limited...
Traditional Level Of Health Care System
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
Purpose of Health Records I
The vital purpose of health records is to provide a complete and accurate account of a patient's medical history, including communication, diagnostic and therapeutic orders, care planning, research, and quality review.
Here's a breakdown of how health records serve these purposes:
Here's a breakdown of how health records serve these purposes:
Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
Health Information Technology and Healthcare Information System
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:


