患者级价值分析:将基于价值的医疗保健概念应用于临床实践的模型
Prakash Jayakumar1, Haley D Puckett, Rebekah M Kleinsmith
1From the Department of Surgery and Perioperative Care, The University of Texas at Austin Dell Medical School, Austin, TX (Jayakumar); Department of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, MN (Puckett, Kleinsmith, and Cunningham); Department of Orthopaedic Surgery, Park Nicollet Methodist Hospital, St. Louis Park, MN (Puckett, Kleinsmith, and Cunningham).
患者级价值分析 (PLVA) 通过将患者的结果与护理成本联系起来,从而增强基于价值的医疗保健. 这种方法指导临床医生优化护理提供和提高患者价值.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床经济学 临床经济学
- 医疗保健管理的管理
背景情况:
- 基于价值的医疗保健需求不断增长,需要实际实施战略.
- 患者级价值分析 (PLVA) 将患者的结果与总护理成本相结合.
- 现有文献需要综合,以促进PLVA的采用.
研究的目的:
- 综合当前关于患者水平价值分析 (PLVA) 的文献.
- 为整形外科医生提供PLVA的战术实施指南.
- 利用行为科学框架促进高价值护理.
主要方法:
- 患者水平价值分析 (PLVA) 的文献综合.
- 能力,机会,动机-行为 (COM-B) 模型的应用.
- 使用理论领域框架 (TDF) 实施战略.
主要成果:
- PLVA涉及六个关键步骤:定义路径,确定干预措施,选择PROM,确定成本,评估关系和确定驱动因素.
- 该COM-B模型和TDF提供了一个结构化的方法来实施PLVA.
- 提供了指导,以尽量减少变化,并促进护理提供最佳实践.
结论:
- PLVA是推动基于价值的医疗保健的关键方法.
- 行为科学框架可以有效地指导在临床环境中实施PLVA.
- 这种方法使医疗保健提供者能够通过优化结果和管理成本来提供更高价值的护理.
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