Division of Gastroenterology and Hepatology, Northwestern University Feinberg School of Medicine, Chicago, IL.
Department of Preventive Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL.
Hepatology. 2018 Sep;68(3):1154-1162. doi: 10.1002/hep.29880. Epub 2018 May 13.
With the passage of the Affordable Care Act followed by the physician payment reform, there is an urgent need to better understand the complex relationships between structure (including incentives), processes, and outcomes of health care and, based on this understanding, identify interventions that can ensure delivery of high-value care to patients with liver disease. As hepatologists, how do we systematically address these issues and ensure that we provide high-value care to our patients? These factors combine in the burgeoning field of health services research. This article seeks to describe how health services research influences the practice of hepatology, the tools and technologies it utilizes, as well as how interested individuals can seek to acquire knowledge and methodological training in health services research. Finally, we summarize the current state of health services research in hepatology and liver transplantation. (Hepatology 2018).
随着平价医疗法案（Affordable Care Act）的通过和医生薪酬改革，我们迫切需要更好地理解医疗保健的结构（包括激励机制）、流程和结果之间的复杂关系，并在此基础上确定可以确保为肝病患者提供高价值护理的干预措施。作为肝病学家，我们应该如何系统地解决这些问题，确保为患者提供高价值的护理？这些因素结合在健康服务研究的新兴领域。本文旨在描述健康服务研究如何影响肝病学的实践，它所利用的工具和技术，以及有兴趣的个人如何寻求获得健康服务研究方面的知识和方法培训。最后，我们总结了目前肝病学和肝移植领域健康服务研究的现状。（《肝脏病学》2018 年）
