How do you implement value-based care methodologies in dentistry with existing dental organizational paradigms?
How do you implement value-based care methodologies in dentistry with existing dental organizational paradigms?
复制标题
如何利用现有的牙科组织范式在牙科中实施基于价值的护理方法？
DOI：
10.1111/jphd.12412
复制
发表时间：
2020
影响因子：
2.3
通讯作者：
Simmons,KristenL
中科院分区：
文献类型：
--
作者：
Sinnott,Matthew;Mullins,JoannaM;Simmons,KristenL
美国医疗保健部门是一个悖论-尽管花费超过世界，但人口健康结果相对较差-目前的范式是一个二分法-追求由质量，结果和成本组成的价值定义，但未能以一致和知情的方式采取行动。2018年，美国牙科支出为1360亿美元，占医疗保健总支出的3.7%，考虑到口腔疾病是最普遍的疾病之一，具有严重的健康和经济负担，大大降低了受影响者的生活质量，这是一个相对名义上的数额。一致和越来越多的证据表明，以初级保健为导向的系统实现了更好的健康结果，更多的健康公平和更低的成本;然而，迄今为止，几乎没有什么手段来结构化口腔健康的作用和量化所提供的价值。要了解基于价值的护理的抽象本质背后的原因，需要深入了解阻碍向基于价值的口腔健康护理系统过渡的驱动因素。一个大型的临床综合网络将提供他们的经验细节。
The U.S. healthcare sector is a paradox – achieving comparatively poor population health outcomes despite outspending the world – and the current paradigm is a dichotomy – pursuing value definition consisting of quality, outcome, and cost, but failing to act in aligned and informed manner. In 2018, U.S. dental spending was $136 billion, accounting for 3.7 percent of total healthcare spending, a relatively nominal amount when considering oral diseases are among the most prevalent and have serious health and economic burdens, greatly reducing quality of life for those affected. Consistent and growing evidence shows that primary care‐oriented systems achieve better health outcomes, more health equity, and lower costs; however, to date, there is little means to structuralize the role of oral health and quantify the value provided. To understand the reasons behind the abstract nature of value‐based care requires an in‐depth understanding of the drivers impeding the transition to a value based oral health system of care. One large clinically integrated network will provide detail of their experience.