开发一个工具来评估基于价值的医疗保健模型的实施和感知:我们的结果
Egidio de Mattia1,2, Dorine van Staalduinen3,4, Ilaria Valentini1
1Faculty of Economics, Università Cattolica del Sacro Cuore, 00168 Rome, Italy.
Healthcare (Basel, Switzerland)
|November 27, 2025
概括
这项研究开发了一种经过验证的评估工具,以帮助组织衡量基于价值的医疗保健 (VBHC) 实施的进展,解决价值议程的采用和变化管理策略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 组织行为 组织行为
- 医疗保健管理的管理
背景情况:
- 实施基于价值的医疗保健 (VBHC) 需要实质性的组织转型,包括结构性变化和文化转变.
- 组织经常在逐步采用VBHC原则时扎,并在此过渡期间忽视员工反应和领导角色.
- 需要工具来评估VBHC实施期间的组织进展.
研究的目的:
- 为转向VBHC的组织开发和验证一个多源评估工具.
- 该工具旨在评估VBHC采用和支持变化管理策略的进展.
- 为组织提供一种方法来衡量其在VBHC实施中的有效性.
主要方法:
- 一个多学科小组根据范围审查开发了初始问卷项目.
- 为了验证,进行了两轮的Delphi分析,涉及54名VBHC,管理,健康经济学和临床研究专家.
- 对项目验证的共识是基于中位数得分,四分位数范围和评级频率.
主要成果:
- 最终评估工具包括30个问题,分为两个部分:价值议程和变化管理.
- 德尔菲调查取得了高专家参与率,第一轮有25个回答,第二轮有23个回答.
- 所有30个项目都符合预先定义的共识标准,超过80%的评级在两轮评审中都属于 [4-5] 范围.
结论:
- 经过验证的工具使组织能够评估采用价值议程组件的情况.
- 它还促进了支持VBHC实施的变化管理策略的评估.
- 将经理和临床医生的观点进行比较,可以全面了解VBHC过渡进展情况.
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