关键词: health care costs health care reform health promotion outcome assessment (health care) public health dentistry quality improvement

Mesh : Humans Oral Health Value-Based Health Care Australia Delivery of Health Care Dental Health Services

来  源:   DOI:10.1111/jphd.12581

Abstract:
Efforts to progress oral healthcare reform can be challenging with competing interests of governments and service providers to achieve the intended outcomes. The value-based health care approach has been adopted in many areas of healthcare but has had limited applications to oral healthcare systems. Dental Health Services Victoria, an Australian state government funded entity, commenced its journey to value-based health care in 2016, to shift away from traditional dental service models that reward activity and volume towards a stronger emphasis on value and outcomes.
To maintain the value-based health care agenda focus, Dental Health Services Victoria developed three key principles, which can be adopted by other organisations engaged in reforming oral healthcare, to improve the oral health for the population it serves.
In 2018, Dental Health Services Victoria developed a value-based health care framework, which has informed strategic organisation priorities for action. In 2023, the following three key principles are identified as being essential to support the operationalisation and development of effective models of oral healthcare: Principle 1 - Care is co-designed with the person or population Principle 2 - Prevention and early intervention are prioritised. Principle 3 - Consistent measurement of health outcomes and costs are embedded.
The exploration of the three key principles is an important communication tool to translate value-based health care into practice with key stakeholders. Further work is required to socialise them to within dental teams.
Organisations looking to commence the value-based health care agenda can apply Dental Health Services Victoria\'s three key principles as a first step.
摘要:
背景:推进口腔医疗改革的努力可能与政府和服务提供商的利益竞争,以实现预期的结果具有挑战性。基于价值的医疗保健方法已在许多医疗保健领域中被采用,但在口腔医疗保健系统中的应用有限。牙科健康服务维多利亚,澳大利亚州政府资助的实体,2016年开始了以价值为基础的医疗保健之旅,从奖励活动和数量的传统牙科服务模式转向更加强调价值和结果。
目标:为了保持基于价值的医疗保健议程重点,维多利亚牙科健康服务制定了三个关键原则,可以被其他从事口腔保健改革的组织采用,改善其服务人群的口腔健康。
方法:2018年,维多利亚州牙科健康服务部门开发了基于价值的医疗保健框架,它为战略组织提供了行动优先事项。2023年,以下三个关键原则被确定为支持口腔保健有效模式的实施和发展至关重要:原则1-护理与个人或人群共同设计原则2-优先考虑预防和早期干预。原则3-对健康结果和成本的一致衡量是内嵌的。
结论:对这三个关键原则的探索是将基于价值的医疗保健转化为与关键利益相关者的实践的重要沟通工具。需要进一步的工作来使他们在牙科团队中社交。
结论:希望开始基于价值的医疗保健议程的组织可以应用维多利亚牙科健康服务的三个关键原则作为第一步。
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