■医疗保健中的价值被描述为患者健康结果的衡量改善,以实现这种改善的成本。在美国,基于价值的护理已经被提供者所预示,付款人,和政策制定者一样,作为解决医疗保健系统面临的挑战和实现医疗保健四重目标的理想目标的途径。初级保健通常被视为实施基于价值的护理的基石。然而,初级保健也被认为是医疗保健消费主义上升的起点。
■本质上,消费主义是指增加患者(消费者)的期望,以更积极地参与与他们的医疗保健相关的决策。尽管许多文献将消费主义的兴起描述为实施基于价值的初级保健的障碍,一些人认为,它可能具有协同作用并促进基于价值的初级保健的实施的潜力.本文应用了基于价值的(公平)护理的增强型逐步实施框架,在新兴的初级保健零售模式中,研究消费主义和基于价值的护理之间的潜在冲突和协同作用。该应用程序基于四个关键利益相关者群体的潜在行动:(1)零售医疗保健实体,(2)初级保健提供者,(3)消费者(患者),(4)医疗保健支付者。
■分析有助于阐明每个利益相关者群体在确保消费主义与基于价值的初级保健之间的协同作用方面的责任。此外,它有助于确定消费主义和基于价值的护理之间协同作用的三个驱动因素:(1)对患者-提供者关系的信任,(2)以消费者为中心的互联技术解决方案,和(3)基于价值的以消费者为中心的支付模式。
■总的来说,该应用程序有助于阐明实施基于价值的护理的全面框架,该框架既包含消费主义原则,又积极考虑健康公平。
UNASSIGNED: Value in health care is described as the measured improvement in a patient\'s health outcomes for the cost of achieving that improvement. In the United States, value-based care has been heralded by providers, payers, and policymakers alike, as a path to addressing the challenges facing the healthcare system and achieving the aspirational goals of the Quadruple Aim of healthcare. Primary care is often viewed as the foundational cornerstone for implementing value-based care. However, primary care is also considered as ground-zero for the rise in healthcare consumerism.
UNASSIGNED: In essence, consumerism refers to increasing expectations from patients (consumers) to be more active participants in decisions related to their healthcare. While much of the literature has portrayed the rise in consumerism as a barrier to the implementation of value-based primary care, some have argued that it may have potential to synergize with and facilitate the implementation of value-based primary care. This paper applies an enhanced stepwise implementation framework for value-based (equitable) care, to examine the potential for conflict and synergy between consumerism and value-based care in the emerging retail model of primary care. The application is based on the potential actions of four key stakeholder groups: (1) retail healthcare entities, (2) primary-care providers, (3) consumers (patients), and (4) healthcare payers.
UNASSIGNED: The analysis helps to articulate the responsibilities of each stakeholder group in ensuring synergy between consumerism and value-based primary care. In addition, it helps to identify three drivers of synergy between consumerism and value-based care: (1) trust in the patient-provider relationship, (2) connected consumer-centric technology solutions, and (3) value-based consumer-centric payment models.
UNASSIGNED: Overall, the application helps to articulate a comprehensive framework for implementing value-based care that incorporates both the principles of consumerism and active consideration for health equity.