探戈到医疗保健中的现代协作和以患者为中心的价值创造 - 从从业人员为从业人员的现实世界指南
Lisa Hefti1, Hanna Boëthius1, Detlef Loppow2
15P Health Care Solutions AG, Medical, Zürich, Switzerland.
Current medical research and opinion
|November 26, 2024
概括
实施基于价值的医疗保健 (VBHC) 需要组织目标,专注的领导力和强大的数据基础设施. 成功的VBHC转型取决于所有利益相关者之间的合作,以改善健康结果和效率.
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
- 卫生政策 卫生政策
背景情况:
- 基于价值的医疗保健 (VBHC) 将重点从数量转移到患者评估的结果.
- VBHC需要提供者,付款人,制药公司,政策制定者和患者 (5P) 之间的合作.
- 实践VBHC实施的经验证据有限.
研究的目的:
- 评估医疗保健组织内VBHC的现实世界实施情况.
- 构建一个实证的VBHC转换参考指南.
- 确定成功采用VBHC的关键推动因素.
主要方法:
- 这是一项为期一年的实地研究,涉及12个国际组织的结构化采访.
- 分析四个阶段的VBHC倡议:启动,数据采集,协作框架和结果评估.
- 数据收集的重点是5P,涉及到各种医疗保健机构.
主要成果:
- 确定了VBHC实施的五个关键推动因素:组织目的,人员,资源,数据基础设施和执行.
- 成功的VBHC需要明确的动机,领导层的认可和安全的资金.
- 可互操作的IT系统对于数据共享和收集至关重要.
结论:
- VBHC的实施是复杂的,需要增量进步,持续的领导力和多年战略框架.
- 了解患者群体,风险分层和结果指标对于VBHC成功至关重要.
- 所有5P之间的合作和持续学习对于提高医疗保健质量和效率至关重要.
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