你可能会听到很多关于医疗保健的未来的激烈争论。但是你听说过很多有用的信息吗?对于你的到来,未来的变化究竟意味着什么?
以价值为基础的医疗保健的概念,例如。在其最为复杂的,基于价值的医疗保健是一个方程,平衡较低的成本和更高的质量。在其最简单的,超越了流行语,这是一套专为患者创造更好的结果的变化。这里有四个例子,这些变化-以及它们将如何提高你的照顾。
在医学上,我们所做的每一个都是以个人的费用来做的。拜访一位医生,这是一个费用。获得核磁共振成像,这是一个费用。从不同的医生,谁不知道第一次核磁共振成像,这是另一个费用。
这个系统不给卫生专业人员很大的激励来看看你的照顾的大画面。他们可以得到每个测试和每个服务的报销,不管是否有必要或不。
与# 8220;如果我们的重点转移到预防问题放在首位,成本降下来和你的健康和# 8221质量变得更好;
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戴维Longworth,MD
主席,医学研究所
In value-based healthcare, doctors 和 others get paid based on outcomes. Do patients with diabetes improve? Do people with hypertension get their blood pressure numbers down? Do they get readmitted to the hospital less frequently?
在未来,医疗机构将测量结果,如这些。他们将根据他们的表现进行报销。
If you have open-heart surgery, what comes afterward will differ from hospital to hospital. When do you go home? How often do you follow up? Is home care required, 和 if so, for how long?
The goal is to st和ardize these processes in the future. That 不平均饼干刀。它做 mean careful scrutiny of what works 和 what 做n’t. Developing an ideal “care pathway” for illnesses 和 procedures — just like best practices in business — will reduce waste 和 give you the best chance of a successful recovery.
广告政策Around the country, employers (including Clevel和 Clinic) 和 insurers are offering incentives for wellness 和 prevention. Quit smoking, take a course in nutrition, join an exercise class or lose weight, 和 your premiums get less expensive.
这个想法比鼓励健康的行为更大。我们花了很多的医疗保健费用,在该国的反应,可以防止健康问题。如果我们把重点放在预防问题上,成本就降下来了和你的健康的质量得到更好的。
如果你有一个慢性病,你的医生会对彼此说吗?他们的电子系统相互喂养吗?在未来,这两个问题的答案都应该是一个响亮的“是的,”由于部分病人为中心的医疗之家(PCMH)。
The PCMH idea is simple: People with chronic conditions will have a team of physicians looking after them 和 a care coordinator making sure each doctor is up to date. It starts with your primary care physician, then spreads out to include specialists. You won’t wait for months for test results, 和 you’ll be able to get an appointment quickly for urgent needs rather than waiting for an opening in a busy doctor’s schedule.
None of this will happen overnight. But in the long term, value-based healthcare can save money 和 give you a healthier life at the same time.
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