了解医疗保健效率 - - 一个由人工智能支持的,对使用的各种术语进行叙述性审查
Lotte A Bock1,2, Sanne Vaassen3, Walther N K A van Mook4,5,6
1Academy of Postgraduate Medical Education, Maastricht University Medical Centre, P.O. Box 5800, Maastricht, AZ, 6202, the Netherlands. lotte.bock@mumc.nl.
医生需要清晰的术语来提高医疗保健的效率. 在医疗教育中整合成本效益和基于价值的医疗保健原则对于优化患者护理和资源配置至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 医学教育
- 卫生经济学 卫生经济学
背景情况:
- 医生越来越负责医疗保健的效率.
- 当代文学缺乏统一的术语来表达医疗保健的效率.
- 这种模糊性阻碍了有效的医学教育和临床实践.
研究的目的:
- 审查和阐明医疗保健效率术语中的含义,共同点和差异.
- 确定最适合医疗教育的术语,为医生提供医疗保健效率提供设备.
- 为未来的医生指导课程的制定.
主要方法:
- 关于医疗保健效率术语的PubMed搜索文章 (2019-2024) 的叙述性综述.
- 排除经验和实践特定研究;专注于概念描述.
- 人工智能支持的选 (ASReview) 和独立的双审核员评估.
主要成果:
- 在最初确定的3,655篇文章中,有26篇文章符合纳入标准.
- 确定了关键术语:成本效益,高价值护理,低价值护理和基于价值的医疗保健.
- 价值是核心的,但定义不同:成本效益侧重于人口水平的价值,而基于价值的医疗保健强调个体患者的价值.
结论:
- 成本效益可能过于严格;基于价值的医疗保健可能无法确保可持续性.
- 综合成本效益 (人口需求) 和基于价值的医疗保健 (以患者为中心) 是必不可少的.
- 医学教育应该包括基于案例的讨论,成本效益计划,成本知识和共享决策技能.
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