改善医疗保健的获取:一个12步操作实践框架
1Department of Radiation Oncology, Chao Family Comprehensive Cancer Center, University of California, Irvine, CA, United States.
Frontiers in health services
|January 20, 2025
概括
改善医疗保健的获取是以价值为基础的护理的关键. 本综述为医疗保健组织提供了一个12步框架,以提高患者的获取能力和简化医疗服务的交付.
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
- 基于价值的医疗保健
背景情况:
- 改善接入对于以价值为基础的医疗保健至关重要,通过消除及时护理的障碍来提高质量.
- 低效率和冗余可能会阻碍患者获得及时的医疗服务.
研究的目的:
- 为医疗保健组织提供一个实用的12步框架,重点是改善接入.
- 为战略思维提供一个主题基础,以改善医疗保健的准入.
主要方法:
- 系统审查遵守系统审查和元分析协议 (PRISMA-P) 首选报告项目声明.
- 从2014年1月到2024年1月,对潜在的同行评审出版物关于医疗保健准入的文献搜索.
- 鉴定的研究的解释性综合.
主要成果:
- 分析了469项同行评审的研究,共同领域包括通用医学,外科护理,健康查,心理健康,心血管疾病,紧急护理和癌症.
- 确定了核心主题:劳动力充分性,患者体验,空间利用,模板优化,调度效率,流程标准化,成本透明度,医生参与和数据分析.
- 在改善接入的战略中,重点强调了公平 (13%),差距 (5%) 和数字健康 (16%).
结论:
- 为改善医疗保健准入制定了一个12步,以主题为基础的框架.
- 该框架为旨在加强患者获得护理的组织提供了一个结构化的方法.
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