COVID-19: A Window of Opportunity for Positive Healthcare Reforms.
COVID-19: A Window of Opportunity for Positive Healthcare Reforms.
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DOI：
10.34172/ijhpm.2020.66
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发表时间：
2020-10-01
影响因子：
3.5
通讯作者：
Jeurissen P
中科院分区：
文献类型：
--
作者：
Auener S;Kroon D;Wackers E;Dulmen SV;Jeurissen P
当前的2019冠状病毒病（COVID-19）大流行正在前所未有地考验医疗保健系统，目前正在全力以赴控制COVID-19危机。我们目睹了日益增加的发病率，有时处于崩溃边缘的交付系统，以及一些无耻的寻租行为。然而，除了所有的挑战，也有可能性正在开放。从这个角度来看，我们专注于COVID-19的经验教训，以提高卫生系统的可持续性。如果我们抓住机会，危机很可能成为积极改革的政策窗口。我们描述了COVID-19危机为减少我们卫生系统的浪费来源带来的积极机遇：护理提供失败、护理协调失败、过度治疗或低价值护理、行政复杂性、定价失败以及欺诈和滥用。我们认为，当前的事件可以引导一些非常需要的改革，使我们的系统更具可持续性。与往常一样，政治政策窗口暂时打开，因此需要迅速采取行动，否则机会就会过去，既得利益者将回来追求自己的议程。专业人士也可以在这方面发挥关键作用。
The current coronavirus disease 2019 (COVID-19) pandemic is testing healthcare systems like never before and all efforts are now being put into controlling the COVID-19 crisis. We witness increasing morbidity, delivery systems that sometimes are on the brink of collapse, and some shameless rent seeking. However, besides all the challenges, there are also possibilities that are opening up. In this perspective, we focus on lessons from COVID-19 to increase the sustainability of health systems. If we catch the opportunities, the crisis might very well be a policy window for positive reforms. We describe the positive opportunities that the COVID-19 crisis has opened to reduce the sources of waste for our health systems: failures of care delivery, failures of care coordination, overtreatment or low-value care, administrative complexity, pricing failures and fraud and abuse. We argue that current events can canalize some very needy reforms to make our systems more sustainable. As always, political policy windows are temporarily open, and so swift action is needed, otherwise the opportunity will pass and the vested interests will come back to pursue their own agendas. Professionals can play a key role in this as well.
影响因子：
120.7
作者：
Berwick, Donald M.;Hackbarth, Andrew D.
通讯作者：
Hackbarth, Andrew D.
影响因子：
9.7
作者：
Capp, Roberta;Misky, Gregory J.;Wiler, Jennifer L.
通讯作者：
Wiler, Jennifer L.
影响因子：
3.3
作者：
Baier, Natalie;Geissler, Alexander;Quentin, Wilm
通讯作者：
Quentin, Wilm