Time for a More Unified Approach to Pediatric Health Care Policy?: The Case of Congenital Heart Care.
Time for a More Unified Approach to Pediatric Health Care Policy?: The Case of Congenital Heart Care.
复制标题
是时候对儿科医疗保健政策采取更统一的方法了？：先天性心脏病护理案例。
DOI：
10.1001/jama.2015.10166
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发表时间：
2015
期刊：
影响因子：
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通讯作者：
R. Ohye
中科院分区：
文献类型：
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作者：
S. Pasquali;J. Dimick;R. Ohye
国家媒体最近的一份报告提出了一个重要的问题：谁在监督和保障对有复杂医疗保健需求的儿童的护理？这篇文章报道了一家医院据称接受心脏手术的儿童死亡率比全国平均水平高出3倍以上，促使联合委员会和医疗保险和医疗补助服务中心进行调查。虽然许多细节尚不清楚，但这项调查激发了关于这些和其他需要复杂，资源密集型护理的儿童的最佳护理的讨论。本观点讨论了当前先天性心脏病护理系统的局限性，作为儿科医疗保健政策更广泛背景下的案例研究，并探讨了优化质量的潜在解决方案。虽然最近的大规模改革旨在改善医疗保健的结果和质量，并促进更综合的交付系统在美国各地，儿科护理受到较少的关注。其中一个主要原因可能是分散的
A recent report in the national media raised an important question: Who is monitoring and safeguarding the care of children with complex health care needs? The article reported on a hospital alleged to have a mortality rate for children undergoing heart surgery more than 3 times higher than the national average, prompting an investigation by the Joint Commission and the Centers for Medicare & Medicaid Services.1 In August of 2015, the hospital voluntarily closed its congenital heart surgery program. Although many details remain unclear, this investigation has stimulated a long overdue discussion regarding the optimal care of these and other children requiring complex, resource-intensive care. This Viewpoint discusses the limitations of the current system of congenital heart care as a case study within the broader context of pediatric health care policy and examines potential solutions to optimize quality. Although recent wide-scale reforms aim to improve health care outcomes and quality and promote more integrated delivery systems across the United States, pediatric care has received less attention. One of the primary reasons for this may be the fragmented