以问题为导向的实践方法. 我. 我. 我. 我. 我. 我. 我. 经济影响 经济影响
JAMA
|August 1, 1977
概括
一个以问题为导向的系统通过将患者与医生的比率翻番,同时减少住院和成本,改善了医疗实践管理. 这通过数据驱动的绩效审计来证明有效的医疗保健管理.
科学领域:
- 医疗保健管理的管理
- 医疗信息学 医疗信息学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 传统医疗实践管理缺乏强大的审计工具.
- 面向问题的系统为系统的实践评估提供了一个框架.
- 将这个系统扩展到整个诊所,可以进行全面的护理评估.
研究的目的:
- 评估一个以问题为导向的系统对医疗实践管理在五年时间内的影响.
- 评估患者护理,资源利用和财务开支的变化.
- 确定以问题为导向的记录在提高实践效率和成本效益方面的有效性.
主要方法:
- 在医疗实践中实施面向问题的记录系统.
- 在五年的时间里,系统地收集和分析实践数据.
- 审计实践的绩效与定义的目标和标准相对应.
主要成果:
- 患者与医生的比率翻了一番.
- 总体住院率下降了20%以上 (一般医疗病例下降了60%).
- 门诊使用和成本减少了约20%,服务支出下降了22%.
结论:
- 面向问题的系统有效地管理了增加的患者负载,同时提高了护理效率.
- 医院住院和门诊费用大幅减少.
- 与医生服务的国家趋势相比,该系统展示了优越的成本控制.
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