选择使用德国索赔数据来衡量低价值护理的指标:一个三轮修改的Delphi小组
Carolina Pioch1, Anne Neubert2, Lotte Dammertz3
1Department of Health Care Management, Technical University of Berlin, Berlin, Germany.
PloS one
|February 18, 2025
概括
减少价值较低的护理,即提供几乎没有好处或潜在危害的服务,可以提高医疗保健的效率. 这项研究确定了24个经过专家验证的指标,用于衡量德国索赔数据中的低价值护理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 医疗信息学 医疗信息学
背景情况:
- 低价值护理将资源从有效治疗中转移,影响医疗保健效率和患者的结果.
- 系统地识别和衡量低价值护理对于质量改善举措至关重要.
研究的目的:
- 系统地建立和验证用于测量低价值护理的指标,使用临床专业知识.
- 确保医学协会,更广泛的医学界和患者接受这些指标.
- 评估这些指标在德国索赔数据中的可衡量性.
主要方法:
- 使用了经过修改的Delphi过程,结合了RAND/UCLA适当性方法.
- 来自52个医学协会的62名专家和患者代表参加了为期三轮的在线小组讨论.
- 指标的评分是根据它们能够表明低价值护理的能力以及它们在德国索赔数据中的可衡量性.
主要成果:
- 衡量低价值护理的24个指标被认为是适当的,涵盖药品,诊断,查和治疗.
- 例如,癌症患者在生命的最后一个月接受化疗.
- 大多数指标需要在德国索赔数据中扩展文档以进行有效的测量.
结论:
- 经过验证的指标为识别和干预低价值护理实践提供了基础.
- 基于这些指标的政策层面干预措施可以提高医疗保健质量.
- 为了全面评估低价值护理,需要在德国索赔中改进数据文档.
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