SOAP-V: Introducing a method to empower medical students to be change agents in bending the cost curve
SOAP-V: Introducing a method to empower medical students to be change agents in bending the cost curve
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DOI：
10.1002/jhm.2489
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发表时间：
2016-03-01
影响因子：
2.6
通讯作者：
Fazio, Sara B.
中科院分区：
文献类型：
--
作者：
Moser, Eileen M.;Huang, Grace C.;Fazio, Sara B.
医学生必须学习如何实践高价值，成本意识的护理。通过修改传统的SOAP（主观-客观-评估-计划）演示文稿，包括价值的讨论（SOAP-V），我们开发了一个认知强迫功能，旨在促进讨论高价值，成本意识的护理在病人分娩。SOAP-V模型提示学生考虑（1）支持测试或治疗的证据，（2）患者的偏好和价值观，以及（3）与替代方案相比，测试或治疗的财务成本。学生报告他们的研究结果，他们的团队在病人护理轮。该工具已在3所医学院成功使用。初步结果发现，接受过SOAP-V培训的学生感到更有能力解决经济医疗危机，更愿意开始讨论价值，更有可能考虑医疗系统的潜在成本。医院医学杂志2016;11：217-220。(c)2015年医院医学学会
Medical students must learn how to practice high-value, cost-conscious care. By modifying the traditional SOAP (Subjective-Objective-Assessment-Plan) presentation to include a discussion of value (SOAP-V), we developed a cognitive forcing function designed to promote discussion of high-value, cost-conscious care during patient delivery. The SOAP-V model prompts the student to consider (1) the evidence that supports a test or treatment, (2) the patient's preferences and values, and (3) the financial cost of a test or treatment compared to alternatives. Students report their findings to their teams during patient care rounds. This tool has been successfully used at 3 medical schools. Preliminary results find that students who have been trained in SOAP-V feel more empowered to address the economic healthcare crisis, are more comfortable in initiating discussions about value, and are more likely to consider potential costs to the healthcare system. Journal of Hospital Medicine 2016;11:217-220. (c) 2015 Society of Hospital Medicine