ACC/AHA Statement on Cost/Value Methodology in Clinical Practice Guidelines and Performance Measures A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures and Task Force on Practice Guidelines

ACC/AHA Statement on Cost/Value Methodology in Clinical Practice Guidelines and Performance Measures A Report of the American College of Cardiology/American Heart Association Task Force on Performance Measures and Task Force on Practice Guidelines
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DOI:
10.1016/j.jacc.2014.03.016
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发表时间:
2014-06-03
影响因子:
24
通讯作者:
Shaw, Leslee J.
Shaw, Leslee J.
中科院分区:
医学1区
文献类型:
--
作者:
Anderson, Jeffrey L.;Heidenreich, Paul A.;Shaw, Leslee J.

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传统上,资源利用和价值考虑被明确排除在实践指南和业绩衡量标准的制定之外,尽管它们往往被隐含考虑。这份文件对这一历史政策提出了挑战。随着医疗保健成本的增加和实现最佳价值(每一美元的健康收益)的愿望,人们越来越认识到需要对医疗保健的价值进行更明确和透明的评估。因此,从社会政策的角度来看,一个关键的医疗保健目标应该是以有限的医疗保健资源实现最佳的健康结果。
Traditionally, resource utilization and value considerations have been explicitly excluded from practice guidelines and performance measures formulations, although they often are implicitly considered. This document challenges this historical policy. With accelerating healthcare costs and the desire to achieve the best value (health benefit for every dollar spent), there is growing recognition of the need for more explicit and transparent assessment of the value of health care. Thus, from a societal policy perspective, a critical healthcare goal should be to achieve the best possible health outcomes with finite healthcare resources.