一般主义者主导的医院模型及其与基于价值的护理的调整:系统性审查协议
Ravi Shankar1, Fiona Devi2, Amartya Mukhopadhyay3
1Medical Affairs - Research Innovation & Enterprise, Alexandra Hospital, Singapore Ravi_SHANKAR@nuhs.edu.sg.
BMJ open
|April 27, 2025
概括
本系统性审查评估了基于价值观的医疗保健的全科医生主导的医院模型. 综合了与传统模型相比,它们对患者治疗结果和成本的影响的证据.
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
背景情况:
- 基于价值的护理 (VBC) 旨在提高医疗保健质量,同时控制成本.
- 建议以全方位主导的医院模型来实现VBC目标.
- 关于这些模型有效性的现有证据是不一致的.
研究的目的:
- 系统地审查和综合一般医生领导的医院模型的证据.
- 将它们对患者结果,医疗保健成本和资源利用的影响与传统模型进行比较.
主要方法:
- 在多个数据库 (PubMed,科学网等) 中进行全面的文献搜索. ) 的情况.
- 包括观察性研究和随机试验.
- 使用既有工具 (纽卡斯尔-太华尺度,柯克兰偏差风险) 提取数据和进行质量评估.
主要成果:
- 主要结局包括死亡率,发病率,患者满意度,成本,停留时间,再入院和咨询.
- 将进行叙事综合,如果数据允许,将进行元分析.
- 证据的确定性将使用建议评估,开发和评估的分级来评估.
结论:
- 这一综述将提供关于全科医生主导医院模型的证据的全面综合.
- 调查结果将为医疗保健政策和实践提供有关VBC策略的信息.
- 计划通过同行评审的出版物和会议进行传播.
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