Li Yuhang, Liu Yaxin, Wen Jin
Institute of Hospital Management, West China Hospital, Sichuan University, Chengdu, 610041, China.
West China School of Public Health, Sichuan University / West China Fourth Hospital, Sichuan University, Chengdu, 610041, China.
BMC Nurs. 2024 Aug 26;23(1):591. doi: 10.1186/s12912-024-02249-5.
Value-Based Care (VBC) is increasingly recognized as a pivotal approach in healthcare, aiming to improve patient outcomes while optimizing costs. Understanding the knowledge, attitudes, and practices (KAP) of nurses towards VBC is crucial for its successful implementation.
This study adopts a multi-center, online, cross-sectional design to survey registered nurses across China to evaluate their KAP related to VBC.The survey was disseminated through the platform Wenjuanxing (SoJump) targeting professional nursing groups, utilizing a structured questionnaire on a five-point Likert scale.
The survey received a total of 1,825 valid responses from 82 hospitals across 18 provinces, with the majority coming from female nurses (95.02%), and a significant portion of the nurses having 10-19 years of clinical experience. 41.32% of the participants indicated they were familiar with Value-Based Care (VBC), and 68% expressed a willingness to participate in relevant training. There was a significant difference (p < 0.001) in the reported incidence of low-value services between nurses' self-reports and their reports about colleagues, with a lower incidence reported by nurses themselves. The highest incidence of low-value services reported by nurses themselves was "Unnecessary Lab testing" (6.52%), while the highest incidence reported by nurses about their colleagues was "Insufficient Treatment" (12.75%).
This survey showed that Chinese nurses have a relatively low level of understanding of value-based healthcare, and that low-value medical practices may be prevalent in China.
基于价值的医疗（VBC）日益被视为医疗保健领域的一种关键方法，旨在改善患者治疗效果的同时优化成本。了解护士对基于价值的医疗的知识、态度和实践（KAP）对于其成功实施至关重要。
本研究采用多中心、在线、横断面设计，对中国各地的注册护士进行调查，以评估他们与基于价值的医疗相关的KAP。该调查通过问卷星（SoJump）平台向专业护理群体发放，采用五分李克特量表的结构化问卷。
该调查共收到来自18个省份82家医院的1825份有效回复，其中大多数来自女护士（95.02%），且很大一部分护士有10 - 19年的临床经验。41.32%的参与者表示他们熟悉基于价值的医疗（VBC），68%表示愿意参加相关培训。护士自我报告的低价值服务发生率与他们对同事的报告之间存在显著差异（p < 0.001），护士自己报告的发生率较低。护士自己报告的低价值服务发生率最高的是“不必要的实验室检查”（6.52%），而护士报告其同事的发生率最高的是“治疗不足”（12.75%）。
本次调查表明，中国护士对基于价值的医疗保健的理解水平相对较低，并且低价值医疗行为在中国可能普遍存在。
