[1]关瑜山,茹 楠,贾香平,等.DRG背景下低价值医疗的研究进展与启示[J].卫生经济研究,2024,41(02):10-13,18.
 GUAN Yushan,RU Nan,JIA Xiangping,et al.Research Progress and Enlightenment of Low-value Care under DRG[J].Journal Press of Health Economics Research,2024,41(02):10-13,18.
点击复制

DRG背景下低价值医疗的研究进展与启示
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
41
期数:
2024年02期
页码:
10-13,18
栏目:
理论研究
出版日期:
2024-01-30

文章信息/Info

Title:
Research Progress and Enlightenment of Low-value Care under DRG
作者:
关瑜山1茹 楠1贾香平1吴华章2孟朝琳1
1.首都医科大学,北京 100069
2.中国医科大学,辽宁 沈阳 110122
Author(s):
GUAN Yushan RU Nan JIA Xiangping WU Huazhang MENG Zhaolin
Capital Medical University, Beijing 100069, China
关键词:
低价值医疗识别评估影响因素控制策略
Keywords:
low-value care identification evaluation influencing factors containment strategy
分类号:
R19
文献标志码:
A
摘要:
近年来,低价值医疗越来越受到学界的关注,但对低价值医疗的概念认识尚不统一。在我国大范围推行DRG的背景下,为达成DRG控制费用、保障质量的双重目标,有必要厘清低价值医疗的概念内涵、识别评估及影响因素,为有效治理低价值医疗提供依据。
Abstract:
Low-value care has received increasing worldwide attention in recent years, but the concept of low-value care is not yet unified. In the context of the widespread implementation of DRG in China, in order to achieve the dual goals of cost control and quality assurance, it is necessary to clarify the concept, identification, evaluation, and influencing factors of low-value care, in order to provide a reference for effective governance of low-value care.

参考文献/References:

[1] 孟朝琳,蔡源益,吴华章.DRGs实施效果评价研究与思考[J].中国卫生质量管理,2021,28(02):35-38.
[2] Quinn K.After the revolution:DRGs at age 30[J].Annals of Internal Medicine,2014,160(06):426-429.
[3] Elshaug A G,Rosenthal M B,Lavis J N,et al.Levers for addressing medical underuse and overuse:achieving high-value health care[J].Lancet,2017,390(10090):191-202.
[4] Neumann P J,Auerbach H R,Cohen J T,et al.Low-value services in value-based insurance design[J].Am J Manag Care,2010,16(04):280-286.
[5] Garner S,Littlejohns P.Disinvestment from low value clinical interventions: nicely done?[J].BMJ,2011,343:d4519.
[6] Verkerk E W,Tanke M A C,Kool R B,et al.Limit,lean or listen? a typology of low-value care that gives direction in de-implementation[J].Int J Qual Health Care,2018,30(09):736-739.
[7] Brownlee S,Chalkidou K,Doust J,et al.Evidence for overuse of medical services around the world[J].Lancet,2017, 390(10090):156-168.
[8] Lefebvre A,Saliou P,Lucet J C,et al.Preoperative hair removal and surgical site infections: network meta-analysis of randomized controlled trials[J].J Hosp Infect,2015,91(02):100-108.
[9] Pimenta G P,de Aguilar-Nascimento J E.Prolonged preoperative fasting in elective surgical patients:why should we reduce it?[J].Nutr Clin Pract,2014,29(01):22-28.
[10] Pandya A.Adding cost-effectiveness to define low-value care[J].JAMA,2018,319(19): 1977-1978.
[11] Neumann P J,Cohen J T,Weinstein M C.Updating cost-effectiveness—the curious resilience of the $50,000-per-qaly threshold[J].N Engl J Med,2014, 371(09):796-797.
[12] Elshaug A G McWilliams J M,Landon B E.The value of low-value lists[J].JAMA,2013, 309(08):775-776.
[13] Sacristán J A.How to assess the value of low-value care[J].BMC health services Research,2020,20(01):1000-1004.
[14] Ganguli I,Thakore N,Rosenthal M B,et al.ongitudinal content analysis of the characteristics and expected impact of low-value services identified in us choosing wisely recommendations[J]. JAMA Intern Med,2022,182(02):127-133.
[15] ABIM Foundation.Choosing wisely[EB/OL](2014-11)[2023-05-19].https://www.choosingwisely.org.
[16] Levinson W,Kallewaard M, Bhatia R S,et al.“Choosing wisely”:a growing international campaign[J].BMJ Quality & Safety,2015, 24(02):167-174.
[17] Canadian Medical Association & University of Toronto.Choosing wisely Canada[EB/OL].[2023-05-19].https://www.choosingwisely.org.
[18] NPS MedicineWise.Choosing wisely Australia[EB/OL].[2023-05-19].https://www.choosingwisely.org.au.
[19] Canadian Agency For Drugs And Technologies In Health. Health technology assessments[EB/OL].[2023-05-19].https://www.cadth.ca.
[20] 中国抗癌协会肺癌专业委员会.明智选择:常见的肺癌治疗决策[J].循证医学,2014,14(03):129-134.
[21] Sipil?覿R,M?覿kel?覿M,Komulainen J.Highlighting the need for de-implementation-choosing wisely recommendations based on clinical practice guidelines[J].BMC Health Serv Res,2019, 19(01):638-644.
[22] Wammes J J G,an Den Akker-Van Marle M E,Verkerk E W,et al.Identifying and prioritizing lower value services from Dutch specialist guidelines and a comparison with the uk do-not-do list[J].BMC Med,2016,14(01):196-204.
[23] Verkerk E W,Huisman-De Waal G,Vermeulen H,et al.Low-value care in nursing:a systematic assessment of clinical practice guidelines[J].Int J Nurs Stud,2018, 87:34-39.
[24] 关瑜山,伍思涵,李杰红,等.基于我国临床护理实践指南的护理低价值项目清单构建[J].护理学杂志,2023,380(4):66-71.
[25] Su W,Song S,Dong H,et al.Identifying and comparing low-value care recommendations for coronary heart disease prevention, diagnosis,and treatment in the us and china[J].Int J Cardiol,2023,374:1-5.
[26] Dakin H,Devlin N, Feng Y,et al.The influence of cost-effectiveness and other factors on nice decisions[J].Health Econ,2015,24(10):1256-1271.
[27] Schwartz A L,Chernew M E,Landon B E,et al.Changes in low-value services in year 1 of the medicare pioneer accountable care organization program[J].JAMA Intern Med,2015,175(11): 1815-1825.
[28] Osorio D,Zuriguel-Pérez E,Romea-Lecumberri S,et al.Selecting and quantifying low-value nursing care in clinical practice:a questionnaire survey[J].J Clin Nurs,2019,28(21-22):4053-4061.
[29] Patel A,Rendu A,Moran P,et al.A comparison of two methods of collecting economic data in primary care[J].Fam Pract,2005,22(03):323-327.
[30] Landon S N,Padikkala J,Horwitz L I.Identifying drivers of health care value: a scoping review of the literature[J].BMC Health Serv Res,2022,22(01):845-862.
[31] 邓璐,胡银环,鲁春桃.低价值医疗的识别与治理[J].医学与社会,2019,32(07):1-4.
[32] Colla C H,Mainor A J,Hargreaves C,et al.Interventions aimed at reducing use of low-value health services:a systematic review[J].Medical Care Research and Review,2017,4(05):507-550.
[33] Ingvarsson S,Augustsson H,Hasson H,et al.Why do they do it?a grounded theory study of the use of low-value care among primary health care physicians[J].Implementation Science,2020,15(01):93-82.
[34] Casarett D.The science of choosing wisely--overcoming the therapeutic illusion[J].N Engl J Med,2016,374(13):1203-1205.
[35] Augustsson H,Ingvarsson S,Nilsen P,et al.Determinants for the use and de-implementation of low-value care in health care:a scoping review[J].Implement Sci Commun,2021,2(01):13-29.
[36] Buist D S M,Chang E,Handley M,et al.Primary care clinicians’perspectives on reducing low-value care in an integrated delivery system[J].Perm J,2016,20(01):41-46.
[37] Kool R B,Verkerk E W,Winnemuller L J,et al.Identifying and de-implementing low-value care in primary care:the GP’s perspective-a cross-sectional survey[J].BMJ Open,2020,10(06): e037019.
[38] Grimshaw J M,Patey A M,Kirkham K R,et al.De-implementing wisely:developing the evidence base to reduce low-value care[J].BMJ Qual Saf,2020,29(05):409-417.
[39] Norton W E,Chambers D A,Kramer B S.Conceptualizing de-implementation in cancer care delivery[J].J Clin Oncol,2019,37(02):93-96.

更新日期/Last Update: 2024-01-30