妇产科护理的变化医疗保健的三重目标：将女性医疗保健从量转向质。

Changes in Obstetrics and Gynecologic Care Healthcare Triple Aims: Moving Women's Healthcare From Volume to Value.

作者信息

Levy Barbara S, Mukherjee Debjani

机构信息

American College of Obstetricians and Gynecologists, Washington, DC.

出版信息

Clin Obstet Gynecol. 2015 Jun;58(2):355-61. doi: 10.1097/GRF.0000000000000099.

DOI:10.1097/GRF.0000000000000099

PMID:25811123

Abstract

Healthcare costs in the United States are over 17% of GDP and climbing. Yet compared with other countries in the developed world, the US healthcare system has the worst record for quality of care in relation to cost. This poor performance and lack of improvement in cost versus quality has led to the development of the Triple Aim framework spearheaded by the Institute for Healthcare Improvement. The focus of the Triple Aim is to improve value of care by improving access to care, systems of care delivery, and quality of care while reducing the overall expenditure.

摘要

美国的医疗保健成本超过国内生产总值的17%，且仍在攀升。然而，与其他发达国家相比，美国医疗保健系统在成本与医疗质量方面的记录最差。这种糟糕的表现以及成本与质量方面缺乏改善，促使医疗保健改善研究所牵头制定了“三重目标”框架。“三重目标”的重点是通过改善医疗服务可及性、医疗服务提供系统和医疗质量，同时降低总体支出，来提高医疗价值。