减少防御性医学行为的政策选择:一项多方法研究
Ehsan Zarei1, Iman Yousefi2, Saba Shiranirad3
1Department of Health Service Management, School of Public Health and Safety, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
防御医学 (DM) 通过政策选择,如基于证据的实践,法律改革,以及改善职业道德和医生与患者关系来减少. 需要在各个层面采取干预措施,以提高患者安全并降低医疗保健成本.
科学领域:
- 卫生政策 卫生政策
- 医学伦理 医学伦理
- 医疗保健管理的管理
背景情况:
- 防御医学 (DM) 涉及为避免法律或声誉风险,增加成本和危及患者安全而做出的临床决策.
- 这项研究解决了在医疗保健系统内减轻DM行为的政策选择的需要.
研究的目的:
- 识别和分类政策选择,策略和考虑措施,以减少防御性医学行为.
- 为在医疗保健系统的各个层面实施干预提供一个框架.
主要方法:
- 在主要数据库 (Web of Science,PubMed,ProQuest,Scopus) 中对2000-2023年文献进行了全面的范围审查.
- 专注小组讨论和专家小组会议被用来改进确定的政策,战略,优点,缺点和实施考虑.
主要成果:
- 制定了四个主要的政策选择:以证据为基础的医学,法律改革,促进职业道德和支持性环境,改善医生与患者的关系.
- 该研究确定了13种干预措施,18种优势,18种缺点和21种实施考虑因素,用于管理DM行为.
- 最初总共检索了1774篇文章,最终包括58篇在分析中.
结论:
- 减少防御医学需要多层次的干预,包括宏观,组织和个人战略.
- 提高临床医生的知识和技能,培养支持性的组织文化,促进道德行为对于缓解DM至关重要.
- 改善医生和患者之间的关系对于解决防御性医学实践至关重要.
更多相关视频
06:28E-Patient Counseling Trial E-PACO: Computer Based Education versus Nurse Counseling for Patients to Prepare for Colonoscopy
Published on: August 1, 2019
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
相关概念视频
Issues And Trends In Healthcare Delivery System
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Ethical Dilemmas II
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Methods of Documentation VI: Case Management Model
For example, a patient with a chronic...
Healthcare Associated Infections II: Preventive Measures
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
Health Information Technology and Healthcare Information System
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
