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基于价值的医疗保健衡量作为组织学习的背景。

Value-based healthcare measurement as a context for organizational learning.

作者信息

Nordin Patrik, Kork Anna-Aurora, Koskela Inka

机构信息

Faculty of Management, University of Tampere , Tampere, Finland.

Research and Service Centre for Occupational Health, Finnish Institute of Occupational Health , Helsinki, Finland.

出版信息

Leadersh Health Serv (Bradf Engl). 2017 May 2;30(2):159-170. doi: 10.1108/LHS-10-2016-0053.

DOI:10.1108/LHS-10-2016-0053
PMID:28514910
Abstract

Purpose The purpose of this paper is to shed light on the potential of organizational learning for developing effectiveness of care. Value-based healthcare measurement recognizes patient value as a driver for improving health outcomes at the societal and individual levels. By using the action learning method, this paper examines the phases of organizational learning in a private healthcare organization that has developed a novel Big Data screening tool for the treatment of patients with type 2 diabetes mellitus (DM2). Design/methodology/approach Relying on triple-loop learning as a conceptual framework and by applying the action learning method to case study design, this paper illustrates the phases of organizational learning and efforts to utilize value-based measurement in healthcare. Findings The case organization was able to identify patients at risk and to improve their care balance. Although the results for the measurement of patient outcomes led to questioning of previous care processes and practices in the organization, increasing value for all stakeholders by incorporating social needs to business opportunities remains under process. Originality/value With the focus on organizational learning and organizational value creation processes, this paper demonstrates incorporation of measuring patient outcomes in re-structuring care processes, enhancing organizational performance and improving effectiveness as well as quality of care.

摘要

目的 本文旨在揭示组织学习在提高医疗服务有效性方面的潜力。基于价值的医疗保健衡量将患者价值视为在社会和个体层面改善健康结果的驱动力。通过运用行动学习法,本文考察了一家私立医疗保健机构的组织学习阶段,该机构开发了一种用于治疗2型糖尿病(DM2)患者的新型大数据筛查工具。

设计/方法/途径 本文以三重循环学习为概念框架,将行动学习法应用于案例研究设计,阐述了组织学习的阶段以及在医疗保健中运用基于价值的衡量的努力。

发现 案例机构能够识别有风险的患者并改善他们的护理平衡。尽管患者结果衡量的结果引发了对该机构先前护理流程和做法的质疑,但通过将社会需求纳入商业机会为所有利益相关者增加价值仍在进行中。

原创性/价值 本文聚焦于组织学习和组织价值创造过程,展示了在重组护理流程中纳入患者结果衡量、提高组织绩效以及改善护理有效性和质量的情况。

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引用本文的文献

1
Exploring the potential of a multi-level approach to improve capability for continuous organizational improvement and learning in a Swedish healthcare region.探索一种多层次方法在瑞典一个医疗保健区域提高持续组织改进和学习能力方面的潜力。
BMC Health Serv Res. 2018 May 24;18(1):376. doi: 10.1186/s12913-018-3129-3.