所有的健康计划都是平等的吗? 医生的观点 医生的观点
S J Borowsky1, M K Davis, C Goertz
1Department of Medicine, Minneapolis Veterans Affairs Medical Center, MN 55417, USA.
JAMA
|September 25, 1997
概括
医生反显示,健康计划的质量差异很大. 高质量护理的主要障碍包括时间限制和利用管理,强调需要更好的健康计划评估工具.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 提高医疗保健的质量 改善医疗保健的质量
- 医生实践模式的模式
背景情况:
- 越来越多的人对健康计划质量信息的需求.
- 医生是质量评估中未充分利用的来源.
- 需要了解医生对健康计划实践的看法.
研究的目的:
- 评估医生对健康计划实践的看法.
- 确定促进或阻碍提供高质量的护理的因素.
- 在不同的健康计划中比较医生评级.
主要方法:
- 在3个健康计划中对249名医生进行了调查.
- 使用利克尔特类项目来评估健康计划实践.
- 医生评价了促进或阻碍质量护理的做法.
主要成果:
- 在支持高质量护理的实践中,医生评级较低 (<20%).
- 确定了障碍:患者时间有限,福利结构,利用管理.
- 医生评级和建议在健康计划之间存在显著差异.
结论:
- 医生调查有效地突出了健康计划的优缺点.
- 评级在健康计划之间有很大的差异.
- 医生反可以指导消费者,购买者和质量改善计划.
相关概念视频
Ethical Issues
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
Introduction To Health Care Delivery System
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
Primary Healthcare Services
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Standards of Care I
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
Bioequivalence: Overview
Pharmaceutical equivalents, by definition, are drug products with the same active ingredient in the same quantities, encapsulated in identical dosage forms, and intended for the same administration routes. These pharmaceutical equivalents are deemed bioequivalent if the bioavailability of the active entity in the drug preparations is similar. Moreover, pharmaceutical equivalents demonstrating bioequivalence are also regarded as therapeutically equivalent. This means that when used as directed,...
Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...

