Minvielle Etienne, Waelli Mathias, Sicotte Claude, Kimberly John R
EHESP, MOS-Institut Gustave Roussy, France.
EHESP, MOS-Institut du Management, France.
Health Policy. 2014 Aug;117(2):216-27. doi: 10.1016/j.healthpol.2014.04.005. Epub 2014 Apr 24.
Organizations that provide health services are increasingly in need of systems and approaches that will enable them to be more responsive to the needs and wishes of their clients. Two recent trends, namely, patient-centered care (PCC) and personalized medicine, are first steps in the customization of care. PCC shifts the focus away from the disease to the patient. Personalized medicine, which relies heavily on genetics, promises significant improvements in the quality of healthcare through the development of tailored and targeted drugs. We need to understand how these two trends can be related to customization in healthcare delivery and, because customization often entails extra costs, to define new business models. This article analyze how customization of the care process can be developed and managed in healthcare. Drawing on relevant literature from various services sectors, we have developed a framework for the implementation of customization by the hospital managers and caregivers involved in care pathways.
提供医疗服务的组织越来越需要能够使其更响应客户需求和愿望的系统和方法。最近的两个趋势，即患者为中心的护理（PCC）和个性化医疗，是护理定制化的第一步。PCC将关注点从疾病转移到患者身上。严重依赖遗传学的个性化医疗，有望通过开发量身定制和有针对性的药物，显著提高医疗保健质量。我们需要了解这两个趋势如何与医疗服务提供中的定制化相关联，并且由于定制化通常需要额外成本，因此要定义新的商业模式。本文分析了如何在医疗保健中开发和管理护理过程的定制化。借鉴来自各个服务部门的相关文献，我们为参与护理路径的医院管理人员和护理人员制定了一个实施定制化的框架。
