实现基于价值的护理的障碍和促进因素:瑞士糖尿病的案例
Odile-Florence Giger1, Elgar Fleisch2, Mia Jovanova3
1Centre for Digital Health Interventions (CDHI), Institute of Technology Management, University of St. Gallen, St. Gallen, Switzerland.
Digital health
|May 12, 2025
概括
在成本上升的情况下,基于价值的护理 (VBC) 可以改善糖尿病管理. 成功实施需要强有力的领导力,财务改革,运营效率和数字工具,为慢性疾病提供可扩展的模型.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 慢性疾病管理 慢性疾病管理
背景情况:
- 全球糖尿病护理支出在2021年达到9660亿美元,超过15年增加了316%,需要具有成本效益的战略.
- 基于价值的护理 (VBC),专注于患者的结果和成本控制,提供了一个潜在的解决方案,但在糖尿病中面临实施挑战.
- 该研究审查了提出的瑞士Diabeter倡议,从荷兰糖尿病诊所的VBC模型中吸取教训.
研究的目的:
- 以荷兰Diabeter模型为灵感,分析在瑞士实施基于价值的糖尿病护理的障碍和促进因素.
- 确定在糖尿病管理中采用VBC的关键成功因素.
- 为在瑞士和其他慢性疾病环境中实施VBC获得实际建议.
主要方法:
- 采用了深入,嵌入式的单个案例研究设计.
- 对瑞士和荷兰的医疗保健专业人员,保险公司和患者团体进行了27次采访.
- 利用二次数据源来补充采访发现并增强上下文理解.
主要成果:
- 确定了成功采用VBC的四个关键因素:领导力,财务重组,运营改进和数字技术.
- 推VBC实施,包括重新设计金融激励,利益相关方伙伴关系和结果测量.
结论:
- 基于价值的糖尿病护理 (SwissDiabeter) 的成功实施取决于强有力的领导,财务重组,数字基础设施和跨学科合作.
- 从Diabeter模型获得的洞察力为糖尿病和其他慢性疾病管理中的VBC缩放提供了一个框架.
- 维基百科有潜力促进经济高效,高质量的医疗保健服务.
相关概念视频
01:15Methods of Documentation VI: Case Management Model
543
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...
543
01:21Barriers to Effective Communication II
3.5K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.5K
01:29Issues And Trends In Healthcare Delivery System
5.5K
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...
5.5K
01:18Introduction To Health Care Delivery System
2.5K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.5K
01:30Ethical Dilemmas II
854
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
854
01:26Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K