Mortimer Frances, Isherwood Jennifer, Pearce Michael, Kenward Charlie, Vaux Emma
Centre for Sustainable Healthcare, Oxford, UK.
Royal College of Physicians, London, UK.
Future Healthc J. 2018 Jun;5(2):94-97. doi: 10.7861/futurehosp.5-2-94.
'Sustainable value' considers patient and population outcomes against environmental, social and economic costs or impacts, providing a framework for driving sustainable improvements in healthcare for current and future generations. Measuring the impact of a quality improvement initiative on sustainable value is a new endeavour. For this to be both meaningful and useful, we must balance academic rigour (using a reproducible methodology to capture the most relevant and important impacts) against pragmatism (working within the constraints of available time and data). Using case studies, we discuss how the different variables of sustainable value may be measured in practice.
“可持续价值”将患者和人群的结果与环境、社会和经济成本或影响进行权衡，为推动当代及后代医疗保健的可持续改善提供了一个框架。衡量质量改进举措对可持续价值的影响是一项新的工作。要使其既有意义又有用，我们必须在学术严谨性（使用可重复的方法来捕捉最相关和最重要的影响）与务实性（在可用时间和数据的限制范围内开展工作）之间取得平衡。通过案例研究，我们讨论了在实践中如何衡量可持续价值的不同变量。
