从军事卫生系统的角度看,基于价值的医疗保健:系统性审查
Henk van der Wal1,2, Damon Duijnkerke3, Maarten F M Engel4
1Department of Surgery, Trauma Research Unit, Erasmus Medical Center, Rotterdam, The Netherlands h.vanderwal.1@erasmusmc.nl.
BMJ open
|November 29, 2024
概括
这一系统性审查发现了军事医学中应用的基于价值的医疗保健 (VBHC) 组件,特别是在创伤护理中. 实施VBHC可以通过更好的基准测试来改善健康结果和护理质量.
科学领域:
- 军事医学 军事医学
- 医疗保健服务研究 医疗服务研究
- 基于价值的医疗保健
背景情况:
- 基于价值的医疗保健 (VBHC) 是一个新兴的模式,专注于改善患者相对于成本的结果.
- 它在军事医疗保健系统中的应用,特别是创伤护理,仍然未被充分探索.
研究的目的:
- 系统地审查和概述军事医学中的基于价值的医疗保健 (VBHC) 战略和组件.
- 评估VBHC在军事卫生系统 (MHS) 的应用程度,重点是军事创伤护理.
主要方法:
- 系统审查遵循系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 从1946年到现在,搜索了Medline,Embase,Web of Science CC和Cochrane CRCT数据库.
- 包括在军事环境中对VBHC组件的观察和试验研究,重点关注受伤战斗人员的护理.
主要成果:
- 在选了3241篇文章后,包括了18篇出版物.
- 15项研究重点关注军事医疗创伤,3项研究关注MHS.
- 发现的最常见的VBHC组件是"结果和成本" (17项研究) 和"以患者为中心的护理" (8项研究).
结论:
- 基于价值的医疗保健 (VBHC) 组件存在于军事医学中,尽管术语不一致.
- 在军事医疗保健中实施VBHC可以提高临床和患者报告结果的基准评估.
- 这种方法有可能提高军事医疗系统内的整体护理质量.
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