重振肌肉骨保健:以价值为基础的护理的战略方法
Isaac Y Hung1, Zeev N Kain2, Kevin J Bozic3
1School of Medicine, University of California, Irvine, Irvine, California; Center on Stress & Health, University of California Irvine, Orange, California.
The Journal of arthroplasty
|November 17, 2024
概括
在肌肉骨健康 (MSK) 中采用基于价值的护理 (VBC) 对于改善患者的治疗结果和降低成本至关重要. 像VBE,TEAM和PROMs这样的关键VBC模型显示出希望,但需要解决障碍,如错误的激励和外科医生参与.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 整形医生 整形医生 整形医生
背景情况:
- 基于价值的护理 (VBC) 将重点从服务量转移到患者的结果.
- 肌肉骨 (MSK) 护理,一个高支出领域,面临的挑战在VBC采用,由于错误的激励和分散的交付.
- 本综述探讨了在MSK护理中推进VBC的策略.
研究的目的:
- 探索在肌肉骨系统 (MSK) 医疗保健中推进基于价值的护理 (VBC) 的策略和模型.
- 评估VBC框架在MSK内部改善护理协调,患者结果和成本效益方面的潜力.
主要方法:
- 审查VBC框架,包括基于价值的企业 (VBEs),转型事件问责模型 (TEAM) 和患者报告的结果措施 (PROM).
- 对这些模型进行评估,以评估它们提高护理协调能力,改善患者治疗结果以及MSK护理的成本效益.
主要成果:
- VBE改善了初级保健专家协调,减少了手术/住院,并改善了结果.
- TEAM (2026) 将专注于针对外科手术事件的跨学科合作.
- 强制性PROMs (2024) 对于部/膝关节关节整形术对于以患者为中心的结果至关重要.
- 挑战包括错误的费用和私人实践骨科外科医生的缓慢采用.
结论:
- 推进MSK VBC需要调整激励机制,跨学科合作,并优先考虑以患者为中心的护理.
- VBE,TEAM和PROM具有潜力,但需要医疗保健专业人员,特别是骨科外科医生积极参与.
- 克服系统性障碍是改善患者护理,减少提供者倦怠和确保可持续的医疗保健服务的关键.
相关概念视频
01:29Issues And Trends In Healthcare Delivery System
5.6K
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...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:29Documentation in Long-Term and Home Healthcare Setting
873
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
873
01:19Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
01:26Methods Of Healthcare Delivery System
3.2K
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...
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...
3.2K
01:13Patient-centered Care
2.0K
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...
2.0K
01:18Introduction To Health Care Delivery System
2.6K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.6K