证据不够:重新评估医疗技术以消除低价值护理的实施
Sara Ingvarsson1,2, Henna Hasson3,4, Ulrica von Thiele Schwarz3,5
1Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden. sara.ingvarsson@ki.se.
Health research policy and systems
|December 3, 2024
概括
健康技术重新评估 (HTR) 可以帮助减少低价值护理 (LVC). 然而,仅凭证据就不足以阻止实施,尽管存在潜在的阻力,但需要利益相关者的参与和战略行动.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生技术评估 卫生技术评估
- 实施科学 实施科学
背景情况:
- 低价值护理 (LVC) 在医疗保健提供中构成了重大挑战.
- 卫生技术再评估 (HTR) 旨在优化现有卫生技术的使用.
- HTR提供了一种潜在的途径来识别和减少LVC.
研究的目的:
- 调查HTR是如何进行的,以促进LVC的退出.
- 检查HTR结果在医疗保健环境中是如何接受和采取行动的.
主要方法:
- 与瑞典的16名HTR机构代表和7名医疗保健组织代表进行定性访谈研究.
- 采访被分析使用定性内容分析.
主要成果:
- 通过利益相关者参与,明确的标准,质量报告和传播,HTR促进LVC的退出.
- 医疗保健组织通过确定优先级,建立网络和监测LVC使用来实施退出.
- 持续使用LVC是显而易见的通过无可争议的继续,持续的资金,和反对撤销实施.
结论:
- 仅凭证据就不足以证明LVC的退出.
- HTR的范围已扩大,包括退出实施策略,强调利益相关者参与和组织行动.
- 通过被动 (持续使用) 和主动 (资金,意见) 手段,对退出实施的抵制仍然存在.
- 实施和取消实施的研究可以指导HTR执行.
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