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维多利亚州牙科保健服务——基于价值的医疗保健原则,适用于口腔保健护理模式。

Dental Health Services Victoria value-based health care principles for oral health models of care.

机构信息

Dental Health Services Victoria, Carlton, Victoria, Australia.

Melbourne Dental School, The University of Melbourne, Melbourne, Victoria, Australia.

出版信息

J Public Health Dent. 2023 Jul;83(3):325-328. doi: 10.1111/jphd.12581. Epub 2023 Aug 16.

Abstract

BACKGROUND

Efforts to progress oral healthcare reform can be challenging with competing interests of governments and service providers to achieve the intended outcomes. The value-based health care approach has been adopted in many areas of healthcare but has had limited applications to oral healthcare systems. Dental Health Services Victoria, an Australian state government funded entity, commenced its journey to value-based health care in 2016, to shift away from traditional dental service models that reward activity and volume towards a stronger emphasis on value and outcomes.

AIMS

To maintain the value-based health care agenda focus, Dental Health Services Victoria developed three key principles, which can be adopted by other organisations engaged in reforming oral healthcare, to improve the oral health for the population it serves.

MATERIALS & METHODS: In 2018, Dental Health Services Victoria developed a value-based health care framework, which has informed strategic organisation priorities for action. In 2023, the following three key principles are identified as being essential to support the operationalisation and development of effective models of oral healthcare: Principle 1 - Care is co-designed with the person or population Principle 2 - Prevention and early intervention are prioritised. Principle 3 - Consistent measurement of health outcomes and costs are embedded.

DISCUSSION

The exploration of the three key principles is an important communication tool to translate value-based health care into practice with key stakeholders. Further work is required to socialise them to within dental teams.

CONCLUSION

Organisations looking to commence the value-based health care agenda can apply Dental Health Services Victoria's three key principles as a first step.

摘要

背景

政府和服务提供者之间存在利益冲突,要实现预期结果颇具挑战,因此推进口腔医疗改革的工作举步维艰。基于价值的医疗保健方法已在许多医疗保健领域得到采用,但在口腔医疗保健系统中的应用有限。澳大利亚维多利亚州政府资助的机构 Dental Health Services Victoria 于 2016 年开始推行基于价值的医疗保健,以摆脱传统的牙科服务模式,该模式奖励活动和数量,转而更加注重价值和结果。

目的

为了保持基于价值的医疗保健议程的重点,Dental Health Services Victoria 制定了三个关键原则,其他参与改革口腔医疗保健的组织可以采用这些原则,以改善其服务人群的口腔健康。

材料和方法

2018 年,Dental Health Services Victoria 制定了基于价值的医疗保健框架,为组织的战略行动重点提供了信息。2023 年,确定以下三个关键原则对于支持有效的口腔医疗保健模式的运作和发展至关重要:原则 1-护理是与个人或人群共同设计的;原则 2-优先考虑预防和早期干预;原则 3-将健康结果和成本的一致衡量嵌入其中。

讨论

探索这三个关键原则是与主要利益相关者沟通将基于价值的医疗保健付诸实践的重要工具。需要进一步开展工作,以便在牙科团队内部推广这些原则。

结论

希望开始基于价值的医疗保健议程的组织可以将 Dental Health Services Victoria 的三个关键原则作为第一步。

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