一位外科医生对基于价值的专业护理的实地指南
Willard C Harrill1,2,3,4,5, Frank G Opelka4,6, Mary L Witkowski7
1Carolina Ear Nose Throat-Sinus and Allergy Center. PA Hickory North Carolina USA.
Laryngoscope investigative otolaryngology
|August 27, 2025
概括
外科医生必须适应以价值为基础的护理, 一个新的框架,EM3 (经验管理立方体),指导了这一转变,以提高外科手术的性能和竞争力.
科学领域:
- 医疗改革
- 基于价值的外科护理
背景情况:
- 医疗行业正在从以量为导向的服务费转向以价值为导向的负责任医疗服务.
- 目前的支付模式对外科医生与患者的关系没有充分协调,
研究的目的:
- 审查在外科手术中的基于价值的护理的概念转变.
- 澄清基于价值的手术表现的驱动因素.
- 制定参与医疗改革的战略.
主要方法:
- 在PubMed/MEDLINE/Google进行了全面的文献搜索.
- 包括基于价值的倡议,行政和政府机构报告以及CMS/CMMI政策的出版物.
- 从2024年6月1日到2025年5月17日进行审查.
主要成果:
- 基于价值的护理需要重新评估外科医生如何定义和提供护理.
- 一个新的三维框架,EM3 (经验管理立方体),是为了管理患者的经验.
- 专注于临床结果,患者参与和护理费用以优化价值 (价值=结果/成本).
结论:
- 在EM3框架中提供了实现透明度和提高外科价值的路线图.
- 它增强了外科价值链能力,以团队为基础的领导力和纵向护理管理.
- 手术专业必须制定新的评估措施和包括EM3在内的护理计划, 以保持在负责护理模式中的竞争力.
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