在医疗保健提供研究中的"效率"的定义和理解:一个范围审查
Mélanie Lötscher-Stamm1,2, Golda Lenzin1
1Winterthur Institute of Health Economics, School of Management and Law, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland.
医疗保健效率研究往往缺乏明确的定义. 这项研究对效率概念进行了分类,提出了诸如"质量包括效率"等术语,以提高研究可比性和对高效医疗保健系统的理解.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 随着医疗保健成本的上升,人们越来越关注医疗保健提供研究的效率.
- 术语"效率"被广泛使用,导致在定义高效的卫生系统和提供者方面存在模糊性.
研究的目的:
- 随着时间的推移,在医疗保健提供研究中分析和分类"效率"的各种定义和应用.
- 为更清晰,更可比的医疗保健效率研究提供框架.
主要方法:
- 使用五个主要数据库 (Medline,Embase,CINAHL,Business Source Premier,EconLit) 进行了一个范围审查.
- 两个独立的研究人员使用Rayyan软件对来源进行了选,根据PRISMA-ScR指南报告了结果.
主要成果:
- 在1441个确定的来源中,包括389个. 显著多数 (77.3%) 缺乏对效率的明确定义.
- 研究主要集中在生产效率 (99.0%),特别是技术效率,将投入与输出进行比较.
- 虽然许多研究讨论了护理质量 (70.4%),但很少有人将其纳入效率测量 (30.3%). 数据包围分析是主要的测量方法.
结论:
- 研究人员应该明确定义所研究的效率类型,以提高研究的可理解性和可比性.
- 一个建议的分类包括"生产效率"",分配效率"",包括质量的效率"和"成本效率".
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