在整形外科测量价值:美国和英国的观点
Charles S Day1,2,3, Prakash Jayakumar4, Andrew Carr5
1Henry Ford Health, Detroit, Michigan.
The Journal of bone and joint surgery. American volume
|February 25, 2026
概括
美国和英国的医疗保健系统需要为专业护理提供标准化的价值定义. 采用增量成本效益比率 (ICER) 可以改善患者的治疗结果和资源分配.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健服务研究 医疗服务研究
- 临床质量测量临床质量测量
背景情况:
- 美国和英国缺乏在专科护理中对价值的标准化定义,这阻碍了优化患者结果和资源使用.
- 现有的基于价值的护理模式显示了适度的节省,但缺乏对以患者为中心的结果或适当的干预选择的影响的真正理解.
研究的目的:
- 突出了对标准化指标的关键需求,以衡量在专科护理中的价值.
- 倡导采用增量成本效益比率 (ICER) 作为基于价值的医疗保健的框架.
主要方法:
- 审查美国和英国现有的基于价值的专业护理计划.
- 使用ICER测量医疗保健价值的概念框架开发.
主要成果:
- 标准化价值指标对于基于成本和患者结果的治疗选择进行比较至关重要.
- 增量成本效益比 (ICER) 整合了经质量调整的寿命年,成本和有效性持续时间.
结论:
- 医疗保健系统应采用基于ICER的框架,从数量模型过渡到基于价值的模型.
- ICER促进了共享决策,减少了护理变化,并支持服务地点的战略决策.
- 实施ICER支持创新,问责制和全人肌肉骨专科护理.
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