Abstract：
The healthcare landscape is evolving rapidly due to escalating costs from the traditional fee-for-service model. Value-based care has emerged as a viable solution, and initiatives focus on areas prone to overuse, waste, or high costs, such as advanced imaging and avoidable acute care resource utilization. Improving medication use is an important component of this work, and it requires organizational commitment, interdisciplinary collaboration, and targeted strategies for specific therapeutic areas. This review article discusses the value-based care approach to optimizing medications and blood product prescribing, spotlighting opportunities to reduce the overuse of opioid, antimicrobial, and proton pump inhibitor medications, alongside the underuse of guideline-based medical therapies in managing chronic diseases like coronary artery disease, heart failure, and chronic obstructive pulmonary disease.
摘要：
由于传统的按服务收费模式的成本不断上升，医疗保健领域正在迅速发展。基于价值的护理已经成为一种可行的解决方案，举措侧重于容易过度使用的领域，废物,或高成本，如先进的影像学和可避免的急性护理资源利用。改善药物使用是这项工作的重要组成部分，它需要组织承诺，跨学科合作,以及针对特定治疗领域的针对性策略。这篇综述文章讨论了基于价值的护理方法来优化药物和血液制品处方，聚焦减少阿片类药物过度使用的机会，抗菌，和质子泵抑制剂药物，在管理冠状动脉疾病等慢性疾病时，基于指南的医学疗法的使用不足，心力衰竭,和慢性阻塞性肺疾病。
