在临床护理实践中对经济评估的系统审查
Yushan Guan1, Nan Ru1, Ruifu Kang1
1School of Nursing Capital Medical University, Beijing, China.
Journal of nursing management
|April 14, 2025
概括
这项系统性审查发现,大多数临床护理实践在经济上有利或可能有利,支持基于价值的护理. 这些发现有助于医疗保健政策制定者在资源分配决策中.
科学领域:
- 卫生经济学 卫生经济学
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全球医疗保健资源的错误分配导致高价值护理的不足使用和低价值护理的过度使用.
- 经济评估对于政策制定者来说至关重要,以确定成本有效的干预措施,并实现以价值为基础的护理.
- 临床护理实践需要严格的经济评估,以确保最佳的资源配置.
研究的目的:
- 系统地审查临床护理实践的经济评估.
- 推进关于在护理中实现基于价值的护理的知识.
- 为医疗保健政策提供有关护理干预措施经济价值的信息.
主要方法:
- 对临床护理实践的经济评估进行了全面的系统审查.
- 在多个数据库 (MEDLINE,Embase,Web of Science等) 中进行了搜索. 从2013年1月开始到2023年1月.
- 使用共识健康经济标准扩展的检查清单评估方法质量,并综合结果.
主要成果:
- 35项研究符合纳入标准,其中27项具有良好的方法质量,8项具有中等方法质量.
- 19项研究表明,临床护理实践占主导地位 (更有效,更便宜).
- 十五项研究表明了潜在的成本效益,而只有一项研究显示了主导干预.
结论:
- 该综述促进了对临床护理实践中基于价值的护理的理解.
- 大多数评估的护理实践似乎在经济上有利或可能有利.
- 调查结果支持医疗保健政策制定者在为基于价值的护理服务分配资源方面做出明智的决策.
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