基于价值的医疗保健绩效评估在普通医院的实施中的关键因素 医疗保健小组:混合方法研究
Wenbo He1, Wei Feng2,3, Liang Du1
1Innovation Institute for Integration of Medicine and Engineering, Chinese Evidence-Based Medicine Center, West China Hospital, Sichuan University, Chengdu, China.
Journal of clinical nursing
|December 5, 2024
概括
本研究确定了实施基于价值的医疗保健绩效评估的关键因素. 了解这些因素有助于优先考虑改善,以改善患者的治疗结果和医院的资源配置.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 性能测量 性能测量 性能测量 性能测量 性能测量
背景情况:
- 基于价值的医疗保健 (VBHC) 是一个不断增长的模式,专注于提高患者的治疗结果.
- 成功实施VBHC需要了解许多因素.
- 这项研究解决了关于这些多方面的影响的知识差距.
研究的目的:
- 确定影响实施高价值医疗保健绩效评估的关键因素.
- 分析这些已确定的因素之间的相互关系.
- 为优化VBHC绩效评估提供一个框架.
主要方法:
- 利用理论建模和混合研究方法.
- 基于技术-组织-环境模型构建了一个框架.
- 进行文献分析,中国的案例研究和专家采访,使用解释性结构模型进行分析.
主要成果:
- 开发了一个理论框架,对VBHC绩效评估中的影响因素和潜在问题进行分类.
- 通过专家采访确定了15个关键因素.
- 创建了一个六级层次结构图和基于驱动力和依赖性的聚类因素.
结论:
- 为医院管理人员提供洞察力,以识别和优先考虑高价值医疗保健绩效的因素.
- 提供了提高临床和护理绩效价值的参考.
- 为临床从业人员提供资源分配和决策信息.
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