The VALUE Framework: Training Residents to Provide Value-Based Care for their Patients

被引:21
作者
Patel, Mitesh S. [1 ]
Davis, Matthew M. [2 ,3 ,5 ,6 ]
Lypson, Monica L. [2 ,3 ,4 ,7 ]
机构
[1] Hosp Univ Penn, Philadelphia, PA 19104 USA
[2] Univ Michigan, Sch Med, Ann Arbor, MI USA
[3] Univ Michigan, Dept Internal Med, Div Gen Internal Med, Ann Arbor, MI 48109 USA
[4] Univ Michigan, Dept Med Educ, Ann Arbor, MI 48109 USA
[5] Univ Michigan, Div Gen Pediat, Child Hlth Evaluat & Res CHEAR Unit, Ann Arbor, MI 48109 USA
[6] Univ Michigan, Gerald R Ford Sch Publ Policy, Ann Arbor, MI 48109 USA
[7] VA Healthcare Syst, Ann Arbor, MI USA
关键词
medical education; residency training; graduate medical education; value; health care value; value-based care; HEALTH-CARE; MEDICAL-EDUCATION; ADHERENCE; REFORM;
D O I
10.1007/s11606-012-2076-7
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
National efforts to improve the value of health care must include graduate medical education (GME) if they are to succeed. Proposals to teach residents to provide value-based care have come from the Medicare Payment Advisory Commission (MedPAC), the Accreditation Council for Graduate Medical Education (ACGME) and the American College of Physicians (ACP). Such proposals skip a key step: residency programs currently lack a clear strategy to prepare residents to assess and deliver value-based care. In this article, we present the VALUE Framework for programs to utilize to teach residents to assess and deliver value-based care for their patients. We then present more than 20 opportunities for residency programs to incorporate training in value-based care.
引用
收藏
页码:1210 / 1214
页数:5
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