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为何测量结果在医疗保健中很重要。

Why measuring outcomes is important in health care.

作者信息

Pantaleon Lucas

机构信息

Pantaleon PLLC, Versailles, Kentucky.

出版信息

J Vet Intern Med. 2019 Mar;33(2):356-362. doi: 10.1111/jvim.15458. Epub 2019 Feb 19.

Abstract

A new strategy has been introduced in human health care, namely, achieving the best outcomes for the lowest cost and thus maximizing value for patients. In value-based care, the only true measures of quality are the outcomes that matter to patients. When outcomes are measured and reported, it fosters improvement and adoption of best practices, thus further improving outcomes. Understanding outcomes is central in providing value and represents an opportunity for redefining veterinary patient care. Value is created by improving the outcomes of patients with a particular clinical condition over the full cycle of care, which normally involves multiple specialties and care sites. To be successful, a key aspect of value based care is working as teams (integrated practice units) centered around the patient's clinical condition. As veterinary medicine has become more specialized and more complex, multidisciplinary communication and trust among the care team are paramount in providing value to patients (and clients). Use of patient-reported outcomes is an essential aspect for improving clinical care, because it enhances the connections among doctors and with patients. Designing and implementing owner-reported outcomes in veterinary clinical practice will lead to an understanding of the effects of treatments on outcomes and quality of life (QOL) of our patients from the owner's perspective, a key way to assess a veterinary patient's QOL.

摘要

人类医疗保健领域引入了一种新策略,即以最低成本实现最佳治疗效果,从而为患者实现价值最大化。在基于价值的医疗中,唯一真正的质量衡量标准是对患者至关重要的治疗效果。当对治疗效果进行衡量和报告时,会促进最佳实践的改进和采用,从而进一步改善治疗效果。了解治疗效果是提供医疗价值的核心,也是重新定义兽医患者护理的契机。通过在整个护理周期内改善患有特定临床病症患者的治疗效果来创造价值,而整个护理周期通常涉及多个专科和护理地点。要取得成功,基于价值的医疗的一个关键方面是以围绕患者临床病症的团队(综合诊疗单位)形式开展工作。随着兽医学变得更加专业化和复杂,护理团队之间的多学科沟通和信任对于为患者(和客户)提供医疗价值至关重要。使用患者报告的治疗效果是改善临床护理的一个重要方面,因为它加强了医生与患者之间的联系。在兽医临床实践中设计和实施宠物主人报告的治疗效果,将有助于从宠物主人的角度了解治疗对我们患者的治疗效果和生活质量(QOL)的影响,这是评估兽医患者生活质量的关键方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/73af/6430924/ac6779101d75/JVIM-33-356-g001.jpg

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