了解基于价值的医疗保健:来自医院环境中的护士和护理经理的定性见解
Carolina E Watson1, Juan M Leyva-Moral1, Nina Granel1
1Nursing Department, Faculty of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
Journal of nursing management
|November 3, 2025
概括
护士了解基于价值的医疗保健 (VBHC),但面临实施挑战. 护理经理是培养一种优先考虑患者结果的文化的关键,以获得成功的VBHC整合和改善医疗保健价值.
科学领域:
- 医疗保健管理的管理
- 护理实践 护理实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于价值的医疗保健 (VBHC) 专注于提高患者的治疗成果和优化资源使用.
- 患者报告的措施 (PRMs) 对VBHC至关重要,但在实践中实施具有挑战性.
- 了解护士的观点对于将VBHC纳入医疗保健至关重要.
研究的目的:
- 探索护士和护理经理对基于价值的医疗保健 (VBHC) 的看法.
- 在医院环境中调查患者报告的措施的实施情况.
- 在西班牙巴塞罗那确定VBHC的挑战和机会.
主要方法:
- 半结构面试的定性主题分析.
- 来自巴塞罗那三级公立医院的19名护士和护士经理参加了这次活动.
- 数据分析遵循布劳恩和克拉克的六阶段主题分析框架.
主要成果:
- 出现了四个主要主题:价值元素,VBHC的概念化,实施方面和系统性挑战.
- 参与者通过以患者为中心的护理模式了解VBHC.
- 关键的挑战包括不清楚的战略,需要合作和培训差距.
结论:
- 护士和管理人员理解VBHC,但面临实际实施的障碍.
- 专注于个人和分配价值,不太关注成本和社会价值.
- 护理经理在将重点从量转移到以患者为中心的结果方面发挥着关键作用.
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