VALUE 框架：培训住院医师为患者提供基于价值的医疗服务。
The VALUE Framework: training residents to provide value-based care for their patients.
机构信息
Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
出版信息
J Gen Intern Med. 2012 Sep;27(9):1210-4. doi: 10.1007/s11606-012-2076-7.
Abstract
National efforts to improve the value of health care must include graduate medical education (GME) if they are to succeed. Proposals to teach residents to provide value-based care have come from the Medicare Payment Advisory Commission (MedPAC), the Accreditation Council for Graduate Medical Education (ACGME) and the American College of Physicians (ACP). Such proposals skip a key step: residency programs currently lack a clear strategy to prepare residents to assess and deliver value-based care. In this article, we present the VALUE Framework for programs to utilize to teach residents to assess and deliver value-based care for their patients. We then present more than 20 opportunities for residency programs to incorporate training in value-based care.
摘要
如果要提高医疗保健的价值，国家的努力必须包括研究生医学教育（GME）。向住院医师传授提供基于价值的医疗服务的建议来自医疗保险支付咨询委员会（MedPAC）、研究生医学教育认证委员会（ACGME）和美国医师学院（ACP）。这些建议跳过了一个关键步骤：住院医师培训计划目前缺乏明确的战略，以培养住院医师评估和提供基于价值的医疗服务的能力。在本文中，我们提出了一个价值框架（VALUE Framework），供计划用来培训住院医师评估和为患者提供基于价值的医疗服务。然后，我们提出了 20 多个机会，供住院医师培训计划纳入基于价值的医疗服务培训。
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