Disappointment in the Value-Based Era: Time for a Fresh Approach?

被引：7

作者：

Figueroa, Jose F. ^{[1
,2
]}

Horneffer, Kathryn E. ^{[1
]}

Jha, Ashish K. ^{[1
,2
,3
]}

机构：

[1] Harvard TH Chan Sch Publ Hlth, Dept Hlth Policy & Management, Boston, MA USA

[2] Harvard Med Sch, Dept Med, Boston, MA 02115 USA

[3] Harvard Global Hlth Inst, 42 Church St, Cambridge, MA 02138 USA

来源：

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION | 2019年 / 322卷 / 17期

关键词：

READMISSIONS REDUCTION PROGRAM; ASSOCIATION; MORTALITY; CARE;

D O I：

10.1001/jama.2019.15918

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In the context of limited evidence to date that national health care quality improvement (QI) initiatives are effective, this Viewpoint proposes shifting the focus of QI efforts to high-need, high-cost individuals, such as frail older patients and those at the end of life, because they are especially vulnerable to adverse consequences of low-value, high-cost care.

引用

页码：1649 / 1650

页数：2

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