Arikian S R, Mario G G, Doyle J J
Center for Health Outcomes and Economics, East Brunswick, New Jersey, USA.
Oncology (Williston Park). 1996 Nov;10(11 Suppl):223-32.
Under the increasing pressures of the marketplace, there has been a determined move in health care toward the development of disease management systems that improve efficiency, control costs, and ensure the best possible clinical outcome. Achieving these goals requires the ability to perform global analysis of complex and dynamic systems, beginning with point-of-care data collection and including the potential for multiple interfaces along the continuum of care. Our center has developed an integrated disease management system that enables the clinician to continuously monitor and assess relevant clinical and financial information flowing through the practice, providing robust and rigorous outcomes, health economic analysis, and pharmacoeconomic analysis of care at every step in the delivery process. This paper describes the results of pilot studies of the analytic capability of the system and includes an overview of the conceptual parameters employed in its development.
在市场压力不断增加的情况下，医疗保健领域已坚定地朝着开发疾病管理系统的方向发展，这些系统可提高效率、控制成本并确保实现最佳临床结果。要实现这些目标，需要具备对复杂动态系统进行全局分析的能力，从护理点数据收集开始，并包括在整个护理连续过程中进行多个接口连接的可能性。我们中心开发了一个综合疾病管理系统，使临床医生能够持续监测和评估流经医疗机构的相关临床和财务信息，在交付过程的每一步都能提供有力且严谨的结果、健康经济分析和药物经济学分析。本文描述了该系统分析能力的试点研究结果，并概述了其开发中采用的概念参数。
