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少即是多(健康):过度使用医疗保健服务。

Less Is More (Healthy): Overuse of Healthcare Services.

机构信息

Assuta Health Services Research Institute, Assuta Medical Centers, Tel Aviv, Israel.

School of Health Systems Management, Netanya Academic College, Netanya, Israel.

出版信息

Isr Med Assoc J. 2022 Jun;24(6):403-409.

Abstract

Overuse of healthcare services is a common phenomenon defined as: "a healthcare service that is provided under circumstances in which its potential for harm exceeds the possible benefit." It is expressed in the gap between desired services and available ones and is accompanied by high financial and human life costs. One-fifth to one-third of patients receives unnecessary, ineffective, or potentially harmful treatments or services. One of the greatest challenges to understanding overuse is the lack of definition for appropriate use. Apart from the physical and mental damage caused by overuse or improper use of medical services, this phenomenon has many implications, such as increasing waiting times for services, creating long queues, and incurring considerable financial costs as over 10% of hospital expenses are used to correct medical errors or preventable infections. Government intervention through economic arrangements such as deductibles and pre-authorization of services by the insurer are partially effective in reducing the overuse of health services. Additional solutions include ensuring safety and quality of care as well as shared decision-making.

摘要

医疗保健服务的过度使用是一种常见现象,被定义为:“在潜在危害超过可能获益的情况下提供的医疗保健服务。”它表现在所需服务和可用服务之间的差距,并伴随着高昂的财务和人力生命成本。五分之一到三分之一的患者接受了不必要、无效或潜在有害的治疗或服务。理解过度使用的最大挑战之一是缺乏适当使用的定义。除了医疗服务过度或不当使用造成的身体和精神损害外,这种现象还带来了许多影响,例如增加服务等待时间、造成长队以及产生相当大的财务成本,因为超过 10%的医院费用用于纠正医疗错误或预防感染。政府通过经济安排(如免赔额和保险公司对服务的预先授权)进行干预,在一定程度上可以减少医疗服务的过度使用。其他解决方案包括确保护理的安全性和质量以及共同决策。

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