Kamal Robin N, Lindsay Sarah E, Eppler Sara L
Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA.
Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA.
J Hand Surg Am. 2018 Nov;43(11):1030-1034. doi: 10.1016/j.jhsa.2018.03.036. Epub 2018 May 10.
The main tenet of value-based health care is delivering high-quality care that is centered on the patient, improving health, and minimizing cost. Collaborative decision-making frameworks have been developed to help facilitate delivering care based on patient preferences (patient-centered care). The current value-based health care model, however, focuses on improving population health and overlooks the individuality of patients and their preferences for care. We highlight the importance of eliciting patient preferences in collaborative decision making and describe a conceptual framework that incorporates individual patients' preferences when defining value.
基于价值的医疗保健的主要宗旨是提供以患者为中心的高质量医疗服务，改善健康状况，并将成本降至最低。已经开发了协作决策框架，以帮助促进基于患者偏好的医疗服务提供（以患者为中心的医疗服务）。然而，当前基于价值的医疗保健模式侧重于改善人群健康，却忽视了患者的个体性及其对医疗服务的偏好。我们强调在协作决策中引出患者偏好的重要性，并描述了一个在定义价值时纳入个体患者偏好的概念框架。
