达拉斯科协会的旅程,以价值为基础的护理
Belinda Tommey1, Paul Skluzacek, Melissa Echols
1Dallas Nephrology Associates, 1505 LBJ Freeway, Dallas, TX 75234.
The American journal of managed care
|December 13, 2024
概括
达拉斯科协会转向以价值为基础的护理,通过患者教育和主动管理改善末期病结果. 这种以患者为中心的方法提高了护理质量,降低了成本.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗保健管理的管理
- 以价值为基础的护理
背景情况:
- 收费服务模式不充分支持终末期病 (ESKD) 的基于价值的护理.
- 经济,人文和社会负担需要采取积极的方法.
- 达拉斯脏病学协会 (Dallas Nephrology Associates) 发现需要改善患者的选择和结果.
研究的目的:
- 实施和评估一个以价值为基础的护理模式,用于ESKD管理.
- 加强患者参与,教育和疾病管理工作流程.
- 为了实现更好的患者结果,并向付款人展示价值.
主要方法:
- 重点转移到患者参与,教育,综合基础设施和指标监测.
- 投资于一个人口健康部门,拥有护士导航员和数据分析师.
- 管理慢性病 (CKD),延迟进展,并促进移植和家庭透析.
主要成果:
- 证明了改善结果,降低成本,提高护理质量.
- 实现了73%的最佳计划开始透析.
- 预防性移植转诊率从7%增加到61%,CKD教育研讨会转诊率从38%增加到68%.
结论:
- 一个以患者为中心,以价值为基础的模型显著改善了病患者的结果.
- 这种方法证明了医疗保健支付者的增值.
- 持续改进和强大的分析是成功实施基于价值的护理的关键.
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