Mortimer Frances, Isherwood Jennifer, Wilkinson Alexander, Vaux Emma
Centre for Sustainable Healthcare, Oxford, UK.
Royal College of Physicians, London, UK.
Future Healthc J. 2018 Jun;5(2):88-93. doi: 10.7861/futurehosp.5-2-88.
Sustainability can be considered a domain of quality in -healthcare, extending the responsibility of health services to patients not just of today but of the future. The longer term -perspective highlights the impacts of our healthcare system on our environment and communities and in turn back onto population health. A sustainable approach will therefore expand the healthcare definition of value to measure health outcomes against environmental and social impacts alongside financial costs. We set out a practical framework for including these new dimensions in an already well-defined model of quality improvement. This has the potential to harness the growing quality improvement movement to shape a more sustainable health service, while improving patient outcomes. Early experience suggests that the new model may also provide immediate -benefits, including additional motivation for clinicians to engage in quality improvement, directing their efforts towards high value interventions and enabling capture and communication of a wider range of impacts on patients, staff and communities.
可持续性可被视为医疗保健领域质量的一个范畴，它将健康服务的责任不仅延伸至当代患者，还包括未来患者。更长远的视角凸显了我们的医疗保健系统对环境和社区的影响，进而又反馈到人群健康上。因此，一种可持续的方法将扩大医疗保健价值的定义，以便在衡量健康结果时，除了考虑财务成本，还要兼顾环境和社会影响。我们提出了一个实用框架，将这些新维度纳入一个已明确界定的质量改进模型中。这有可能利用日益壮大的质量改进运动，塑造一个更具可持续性的医疗服务，同时改善患者治疗效果。早期经验表明，新模式还可能带来直接益处，包括为临床医生参与质量改进提供额外动力，引导他们将精力投入到高价值干预措施中，并能够记录和传达对患者、工作人员和社区更广泛的影响。
