BHAGs是为了调整激励措施和建立一个学习系统,以改善总人口健康
Paul Hughes-Cromwick1, Sanne J Magnan
14450 Boulder Pond Dr, Ann Arbor, MI 48108.
The American journal of managed care
|December 13, 2024
概括
美国日益扩大的预期寿命差距凸显了医疗保健和公共卫生方面的失败. 为健康,环境和社会制定雄心勃勃,可衡量的目标,可以为所有人口带来必要的改善.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 医疗保健系统 医疗保健系统
背景情况:
- 医疗保健和公共卫生系统未能解决美国预期寿命日益增长的差异.
- 现有系统缺乏协调的激励措施,以专注于弱势群体和整体人口健康.
研究的目的:
- 为重新构想医疗保健和公共卫生提出一个新的框架.
- 引入大毛的大胆目标 (BHAGs) 作为解决日益扩大的健康差距和改善人口健康结果的战略.
主要方法:
- 对当前医疗保健和公共卫生系统缺陷的概念分析.
- 建议一个框架,包括协调的激励措施,社区资产和持续学习.
- 在健康,社会和环境领域定义特定的BHAG目标.
主要成果:
- BHAG可以作为一个强大的目标来集中注意力,并推动改善人口健康的行动.
- 拟议的BHAG包括健康GDP,预期寿命,安全和健康的儿童,一个地球政策,社会支出和政治治愈.
- 对齐的激励措施和社区资产的战略部署对于成功至关重要.
结论:
- 重新构想医疗保健和公共卫生需要向雄心勃勃,可衡量的目标转变.
- BHAGs提供了一种战略方法来解决诸如健康差距等复杂问题,并提高国家福祉.
- 解决社会决定因素和政治因素是实现显著健康收益的重要组成部分.
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