医疗保健系统如何通过以价值为基础的护理来发展和繁荣?
1Robert Millette, FACHE,is senior vice president at Astrana Health in Providence, Rhode Island.
Frontiers of health services management
|November 26, 2025
概括
医疗保健系统需要转型,以减少浪费和成本. 投资以价值为基础的护理模式对于协调,高效和高质量的患者服务至关重要.
科学领域:
- 医疗保健管理的管理
- 卫生系统工程 卫生系统工程
- 卫生经济学 卫生经济学
背景情况:
- 美国传统的医疗保健系统以急性护理设施为中心,无论位置如何.
- 在急性护理机构内存在大量的浪费,这有助于提高国家卫生支出.
- 2023年,国家卫生支出增长了7.5%,医院费用大幅增加.
研究的目的:
- 通过将当地急性护理中心整合到更广泛的护理生态系统中,倡导改变医疗保健系统.
- 突出需要投资于以价值为基础的护理策略.
- 促进协调和经济高效的医疗保健服务.
主要方法:
- 对当前医疗保健系统结构的分析.
- 审查国家卫生支出数据.
- 基于价值的护理生态系统的概念框架.
主要成果:
- 急性护理中心占医疗保健成本的很大一部分,估计25%归因于浪费.
- 医院费用增加了两位数,加剧了财政压力.
- 转向以价值为基础的护理是金融可持续性和改善服务质量的必要策略.
结论:
- 医疗保健转型需要从传统的急性护理中心模式转变范式.
- 投资以价值为基础的护理对于优化资源配置和服务提供至关重要.
- 通过战略性资本投资,可以实现协调,成本高效和高质量的医疗保健系统.
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