在基于远程医疗的医疗保健提供协议中使用基于时间驱动的基于活动的成本计算的基于证据的经验
Ágnes Réka Mátó1, Márton Vilmányi1
1Institute of Business Studies, University of Szeged, Szeged, Hungary.
概括
远程医疗技术可以提高医疗保健价值,但成本效益有所不同. 只有当远程医疗节省的人力能力超过其额外成本时,价值才会增加. 建议采用精细的基于时间驱动的基于活动的成本计算 (TDABC) 方法.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
背景情况:
- 基于价值的医疗保健需要优化健康结果和成本的策略.
- 基于时间驱动的基于活动的成本计算 (TDABC) 是管理医疗保健支出的一个关键方法.
- 评估远程医疗技术的价值创造在现代医疗保健中至关重要.
研究的目的:
- 评估远程医疗技术对医疗保健提供过程中的价值创造的影响.
- 分析远程医疗支持与传统护理途径之间的成本效益和资源利用.
- 研究TDABC方法在评估医疗保健技术进步中的适用性.
主要方法:
- 绘制了四对传统和远程医疗支持的医疗保健提供流程.
- 从多个来源收集关于时间,资源使用和信息流的数据,包括临床医生采访和财务数据库.
- 利用基于时间驱动的活动成本计算 (TDABC) 框架来分析流程成本和价值.
主要成果:
- 远程医疗整合并没有普遍提高协议价值;在研究的过程中,成本效益差异很大.
- 两个远程医疗协议显示节省了成本 (80.37%和45.29%),而另外两个则出现了大幅度的成本超支 (902.90%和161.01%).
- 只有当远程医疗产生的人力资源净节约超过了与之相关的支出时,才观察到价值的增加.
结论:
- 远程医疗的实施大大改变了协议,并影响了成本结构.
- 综合性评估需要评估的不仅仅是TDABC中修改的步骤.
- 一个精细的TDABC方法可以有效地评估医疗保健技术变革的多方面的影响.
相关概念视频
01:30Health Information Technology and Healthcare Information System
787
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
787
01:15Methods of Documentation VI: Case Management Model
559
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
559
01:29Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
01:23Methods of Documentation V: CBE
870
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
870
01:30Current Trends in Nursing II
1.2K
Trends in nursing are multifactorial and associated with changes in society, within the nursing profession, and in other professions. Notably, telehealth and remote nursing contribute to successful healthcare delivery for numerous patients and help reduce stress for nurses due to nursing shortages. Nurses can reach patients, monitor their conditions, and interact with them using computers, audio, visual accessories, and telephones—for example, remote patient monitoring systems. Likewise,...
1.2K
01:26Methods of Documentation II: POMR
897
The Problem-Oriented Medical Record (POMR) revolutionized medical record-keeping by introducing a systematic approach focusing on the patient's problems rather than merely listing symptoms. Dr. Lawrence Weed's introduction of this method in the 1960s marked a significant advancement in medical documentation. The POMR framework consists of four key components: the database, problem list, plan of care, and progress notes.
897