医生指导的再投资:医院系统的新型成本节约框架,利用前线医生
Pooja S Yesantharao1, Renee Box2, Lisa Shieh3
1Division of Plastic and Reconstructive Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA, USA.
由医生指导的成本节约再投资计划 (CSRP) 创造了超过3400万美元的医疗保健储蓄. 这一举措成功地使医生参与了以价值为基础的护理,为投资提供了显著的回报.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 以价值为基础的护理
背景情况:
- 医疗保健提供成本不断上升,需要创新的成本节约策略.
- 传统的自上而下的节约成本计划往往会给医生带来负担,并且缺乏持续的参与.
- 医生指导的举措对于有效和可持续的降低成本至关重要.
研究的目的:
- 调查一项由医生指导的新型成本节约再投资计划 (CSRP) 的有效性.
- 评估该计划对医疗保健成本,投资回报率和医生参与度的影响.
- 探索一种自下而上的方法来促进高价值的护理计划.
主要方法:
- 从2017年到2023年对一个机构CSRP倡议的回顾性分析.
- 与标准护理相比,验证的成本节约的评估.
- 使用开销成本计算项目投资回报率.
- 评估医生参与和参与的趋势.
主要成果:
- 收到了128个提案,70个被接受并成功完成,资金重新投资.
- 在经过验证的成本节约中产生了34,457,130美元,投资回报率为13倍.
- 多学科医生协作和参与的显著同比增长.
结论:
- 在大型医疗保健系统中,CSRP已经证明了持续的成本节约超过了目标.
- 该计划有效地吸引了不断增长和多样化的医生参与者基础.
- 通过赋予前线医生权力,CSRP提供了一个成功的新模式,以促进基于价值的护理.
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