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Improving the Effectiveness of Healthcare: Diagnosis-Centered Care Vs. Person-Centered Health Promotion, a Long Forgotten New Modelстатья
Статья опубликована в высокорейтинговом журнале
Статья опубликована в журнале из списка Web of Science и/или Scopus- Авторы: Martyushev-Poklad Andrey, Yankevich Dmitry, Petrova Marina
- Журнал: FRONTIERS IN PUBLIC HEALTH
- Том: 10
- Год издания: 2022
- DOI: 10.3389/fpubh.2022.819096
- Аннотация: Performance of healthcare can be measured as its ability to restore and preserve healthwith acceptable costs for the society. Under the current prevalence of chronic disease,medical care (the major content of healthcare) underperforms in all key indicators: clinicaleffectiveness, benefit/risk ratio of interventions, cost/benefit ratio, and general population health. In Russia key performance indicators (KPI) of healthcare do not allow effective decision-making; a similar situation is seen worldwide: most KPIs are either focusedon the process (not results) of medical care, or depend on efforts out of control of healthcare decision-makers. The key root factors limiting clinical effectiveness and cost-effectiveness of healthcare are reactive diagnosis-centered organizational model of care and the underlying biomedical paradigm, generally inadequate in chronic diseases. They make healthcare intervene too late, use less effective prevention and treatment instruments, and be in a state of resource scarcity. In Russia there is also a lack of interdisciplinary and interagency cooperationessential for health preservation and promotion.Performance of healthcare system in overcoming the chronic disease epidemic can be improved through supplementing the current ‘reactive’ organizational model with preventive person-centered model based on the biopsychosocial paradigm. Enabling patients for early lifestyle-based interventions, the core P4 medicine approach, should prevail in managing chronic disease. Communication and information technologies should allow fast scaling up of the best person-centered practices.Keywords: healthcare organizational model, clinical effectiveness, cost effectiveness, biomedical paradigm,biopsychosocial paradigm, model of care, person-centered model of care
- Добавил в систему: Янкевич Дмитрий Станиславович
Прикрепленные файлы
| № | Имя | Описание | Имя файла | Размер | Добавлен |
|---|---|---|---|---|---|
| 1. | Полный текст | Improving_the_Effectiveness_of_Healthcare_Diagnosis-Centere… | 220,3 КБ | 5 мая 2023 [yanson_d] |