低價值醫療之探討__臺灣人文及社會科學引文索引資料庫

:::

詳目顯示

第 1 筆 / 總合 1 筆

/1頁

來源文獻資料
摘要
外文摘要
引文資料

題名：	低價值醫療之探討
書刊名：	臺灣公共衛生雜誌
作者：	吳潔人／吳怡玟／郭年真
作者(外文)：	Wu, Chieh-jen／Wu, Yi-wen／Kuo, Raymond N.
出版日期：	2018
卷期：	37:6
頁次：	頁602-613
主題關鍵詞：	低價值醫療；醫療品質；以病人為中心；成本效益；Low-value care；Quality of care；Patient-centered；Cost effectiveness
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:2 共同引用:0 點閱:4

全球的衛生醫療保健支出逐年上漲，各國開始針對「無效率照護」、「過度使用醫療資源」等議題進行討論，因此「低價值醫療」（Low-value care）一詞逐漸備受重視。低價值醫療可能導致醫療費用上升、病人身體與心理傷害、壓縮高價值的醫療服務資源供給，更甚者可能造成醫源性傷害（Iatrogenic harm）的發生，因此若減少低價值醫療的利用，能減少不必要的治療與後續相關醫療費用支出。本研究整理低價值醫療議題的發展脈絡，接著釐清造成低價值醫療在「臨床人員」、「病患」以及「醫療體系」三個不同面向的因素，同時探討低價值醫療對於病患及醫院端的影響，最後整理出近年來各國低價值醫療利用現況、政策介入與改善情形，進一步探討台灣未來針對低價值醫療可以改善的方向與目標。

以文找文

The rising cost of health care has raised concerns about the provision of ＂ineffective care,＂＂inefficient care,＂ and ＂unwanted care＂ in many countries. ＂Low-value care＂ has received attention because it can increase the cost of health care, cause physical and mental harm to patients, including iatrogenic harm, and reduce the availability of high-value health care services. Efforts to reduce the prevalence of low-value care can, therefore, reduce the incidence of unnecessary treatments and their accompanying costs. This paper reviews the contexts in which low-value care occurs and investigates the manner in which clinicians, patients, and health care systems contribute to the prevalence of low-value care. This paper also discusses the effect of low-value care on patients and health care providers. Finally, we summarize the current status of policies and interventions aimed to curb the provision of low-value care in several countries to illuminate potential targets for policy interventions and solutions to reduce the provision of low-value care in Taiwan.

以文找文

期刊論文
1.	Wagner, A. K.、Zhang, F.、Soumerai, S. B.、Walker, A. M.、Gurwitz, J. H.、Glynn, R. J.(2004)。Benzodiazepine use and hip fractures in the elderly: who is at greatest risk?。Arch Intern Med，164，1567-1572。
2.	American Geriatrics Society 2012 Beers Criteria Update Expert Panel(2012)。American Geriatrics Society Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults。Journal of the American Geriatrics Society，60(4)，616-631。
3.	Porter, Michael E.(2010)。What is value in health care?。The New England Journal of Medicine，363(26)，2477-2481。
4.	Berwick, D. M.、Hackbarth, A. D.(2012)。Eliminating waste in US health care。The Journal of the American Medical Association，307(14)，1513-1516。
5.	Shao, Chun-chih、Chang, Chia-pei、Chou, Li-fang、Chen, Tzeng-ji、Hwang, Shinn-jang(20110900)。The Ecology of Medical Care in Taiwan。Journal of the Chinese Medical Association，74(9)，408-412。
6.	The American Geriatrics Society 2015 Beers Criteria Update Expert Panel(2015)。American Geriatrics Society 2015 Updated Beers Criteria for Potentially Inappropriate Medication Use in Older Adults。Journal of the American Geriatrics Society，63(11)，2227-2246。
7.	Mafi, J. N.、Wee, C. C.、Davis, R. B.、Landon, B. E.(2017)。Association of primary care practice location and ownership with the provision of low-value care in the United States。Jama Internal Medicine，177(6)，838-845。
8.	Brownlee, S.、Chalkidou, K.、Doust, P. J.、Elshaug, A. G.、Glasziou, P.、Heath, I.、Nagpal, S.、Saini, V.、Srivastava, D.、Chalmers, K.、Korenstein, D.(2017)。Evidence for overuse of medical services around the world。The Lancet，390(10090)，156-168。
9.	Charlesworth, C. J.、Meath, T. H. A.、Schwartz, A. L.、McConnell, K. J.(2016)。Comparison of low-value care in Medicaid vs commercially insured populations。JAMA internal medicine，176(7)，998-1004。
10.	Verkerk, E. W.、Tanke, M. A. C.、Kool, R. B.、Van Dulmen, S. A.、Westert, G. P.(2018)。Limit, lean or listen? A typology of low-value care that gives direction in de-implementation。Int J Qual Health Care，30(9)，736-739。
11.	Sprenger, M.、Robausch, M.、Moser, A.(2016)。Quantifying low-value services by using routine data from Austrian primary care。Eur J Public Health，26(6)，912-916。
12.	Bishop, T. F.、Cea, M.、Miranda, Y.、Kim, R.、Lash-Dardia, M.、Lee, J. I.(2017)。Academic physicians' views on low-value services and the choosing wisely campaign: A qualitative study。Healthc，5(1/2)，17-22。
13.	Levinson, W.、Kallewaard, M.、Bhatia, R. S.、Wolfson, D.、Shortt, S.、Kerr, E. A.(2015)。Choosing Wisely': a growing international campaign。BMJ Qual Saf，24(2)，167-174。
14.	Mafi, J. N.、Parchman, M.(2018)。Low-value care: an intractable global problem with no quick fix。BMJ Qual Saf，27(5)，333-336。
15.	Schwartz, A. L.、Landon, B. E.、Elshaug, A. G.、Chernew, M. E.、McWilliams, J. M.(2014)。Measuring low-value care in medicare。JAMA Internal Medicine，174(7)，1067-1076。
16.	Conrad, D. A.(2015)。The theory of value-based payment incentives and their application to health care。Health Serv Res，50(Suppl 2)，2057-2089。
17.	Colla, C. H.、Mainor, A. J.、Hargreaves, C.、Sequist, T.、Morden, N.(2017)。Interventions aimed at reducing use of low-value health services: a systematic review。Med Care Res Rev，74(5)，507-550。
18.	Cassel, C. K.、Guest, J. A.(2012)。Choosing Wisely: helping physicians and patients make smart decisions about their care。JAMA，307，1801-1802。
19.	Blumenthal-Barby, J. S.(2013)。"Choosing Wisely" to reduce low-value care: a conceptual and ethical analysis。J Med Philos，38，559-580。
20.	Powell, A. A.、Bloomfield, H. E.、Burgess, D. J.、Wilt, T. J.、Partin, M. R.(2013)。A conceptual framework for understanding and reducing overuse by primary care providers。Med Care Res Rev，70，451-472。
21.	Gnjidic, D.、Elshaug, A. G.(2015)。De-adoption and its 43 related terms: harmonizing low-value care terminology。BMC Med，13，273。
22.	Morgan, D. J.、Brownlee, S.、Leppin, A. L.、Kressin, N.、Dhruva, S. S.、Levin, L.、Landon, B. E.、Zezza, M. A.、Schmidt, H.、Saini, V.、Elshaug, A. G.(2015)。Setting a research agenda for medical overuse。BMJ，351。
23.	Mafi, J. N.、Wee, C. C.、Davis, R. B.、Landon, B. E.(2016)。Comparing use of low-value health care services among u.s. Advanced practice clinicians and physicians。Annals of Internal Medicine，165(4)，237-244。
24.	Fendrick, A. M.、Smith, D. G.、Chernew, M. E.(2010)。Applying value-based insurance design to low-value health services。Health Aff，29，2017-2021。
25.	Neumann, P. J.、Auerbach, H. R.、Cohen, J. T.、Greenberg, D.(2010)。Low-value services in value-based insurance design。American Journal of Managed Care，16(4)，280-286。
26.	Pandya, A.(2018)。Adding cost-effectiveness to define low-value care。JAMA，319，1977-1978。
27.	Morden, N. E.、Colla, C. H.、Sequist, T. D.、Rosenthal, M. B.(2014)。Choosing Wisely--the politics and economics of labeling low-value services。N Engl J Med，370，589-592。
28.	Baker, D. W.、Qaseem, A.、Reynolds, P. P.(2013)。Design and use of performance measures to decrease low-value services and achieve cost-conscious care。Ann Intern Med，158，55-59。
29.	Xu, W. Y.、Jung, J. K.(2017)。Socioeconomic differences in use of low-value cancer screenings and distributional effects in medicare。Health Serv Res，52，1772-1793。
30.	Badgery-Parker, T.、Pearson, S. A.、Chalmers, K.(2019)。Low-value care in Australian public hospitals: prevalence and trends over time。BMJ Qual Saf，28(3)，205-214。
31.	Carter, E. A.、Morin, P. E.、Lind, K. D.(2017)。Costs and trends in utilization of low-value services among older adults with commercial insurance or medicare advantage。Med Care，55，931-939。
32.	Sharp, A. L.、Klau, M. H.、Keschner, D.(2015)。Low-value care for acute sinusitis encounters: who's Choosing Wisely?。Am J Manag Care，21，479-485。
33.	Rosenberg, A.、Agiro, A.、Gottlieb, M.、Barron, J.、Brady, P.、Liu, Y.、Li, C.、DeVries, A.(2015)。Early trends among seven recommendations from the Choosing Wisely campaign。Jama Internal Medicine，175(12)，1913-1920。
34.	Chua, K. P.、Schwartz, A. L.、Volerman, A.、Conti, R. M.、Huang, E. S.(2016)。Use of low-value pediatric services among the commercially insured。Pediatrics，138，e20161809。
35.	Barnett, M. L.、Linder, J. A.、Clark, C. R.、Sommers, B. D.(2017)。Low-value medical services in the safety-net population。JAMA Intern Med，177，829-837。
36.	McAlister, F. A.、Lin, M.、Bakal, J.、Dean, S.(2018)。Frequency of low-value care in Alberta, Canada: a retrospective cohort study。BMJ Qual Saf，27，340-346。
37.	Schwartz, A. L.、Zaslavsky, A. M.、Landon, B. E.、Chernew, M. E.、McWilliams, J. M.(2018)。Low-value service use in provider organizations。Health Serv Res，53，87-119。
38.	Schwartz, A. L.、Chernew, M. E.、Landon, B. E.、McWilliams, J. M.(2015)。Changes in low-value services in year 1 of the medicare pioneer accountable care organization program。JAMA Intern Med，175，1815-1825。
39.	Colla, C. H.、Morden, N. E.、Sequist, T. D.、Schpero, W. L.、Rosenthal, M. B.(2015)。Choosing Wisely: prevalence and correlates of low-value health care services in the United States。Journal of General Internal Medicine，30(2)，221-228。
40.	Mafi, J. N.、Russell, K.、Bortz, B. A.、Dachary, M.、Hazel, W. A. Jr.、Fendrick, A. M.(2017)。Low-cost, high-volume health services contribute the most to unnecessary health spending。Health Affairs，36(10)，1701-1704。
41.	Chambers, J. D.、Salem, M. N.、D'Cruz, B. N.、Subedi, P.、Kamal-Bahl, S. J.、Neumann, P. J.(2017)。A review of empirical analyses of disinvestment initiatives。Value in Health，20(7)，909-918。
42.	Pisu, M.、Rocque, G. B.、Kenzik, K.(2017)。Choosing Wisely: opportunities for improving value of cancer care in the Deep South。J Oncol Pract，13，e11-e21。
43.	Schpero, W. L.、Morden, N. E.、Sequist, T. D.、Rosenthal, M. B.、Gottlieb, D. J.、Colla, C. H.(2017)。For selected services, blacks and hispanics more likely to receive low-value care than whites。Health Aff，36，1065-1069。
44.	Colla, C. H.、Mainor, A. J.(2017)。Choosing Wisely campaign: valuable for providers who knew about it, but awareness remained constant, 2014-17。Health Affairs，36(11)，2005-2011。
45.	Scott, I. A.(2017)。Cognitive challenges to minimising low value care。Intern Med J，47，1079-1083。
46.	Scott, I. A.、Elshaug, A. G.(2013)。Foregoing low-value care: how much evidence is needed to change beliefs?。Intern Med J，43，107-109。
47.	Kerr, E. A.、Kullgren, J. T.、Saini, S. D.(2017)。Choosing Wisely: how to fulfill the promise in the next 5 years。Health Aff，36，2012-2018。
48.	Hoffmann, T. C.、Del Mar, C.(2017)。Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review。JAMA Intern Med，177，407-419。
49.	Buist, D. S.、Chang, E.、Handley, M.(2016)。Primary care clinicians' perspectives on reducing low-value care in an integrated delivery system。Perm J，20，41-46。
50.	Colla, C. H.、Morden, N. E.、Sequist, T. D.、Mainor, A. J.、Li, Z.、Rosenthal, M. B.(2018)。Player type and low-value care: comparing Choosing Wisely services across commercial and medicare populations。Health Serv Res，53，730-746。
51.	Grover, M.、Abraham, N.、Chang, Y. H.、Tilburt, J.(2016)。Physician cost consciousness and use of low-value clinical services。J Am Board Fam Med，29，785-792。
52.	Pisetsky, D. S.(2013)。The Choosing Wisely initiative: does it have your back?。Arthritis Res Ther，15，117。
53.	Garner, S.、Littlejohns, P.(2011)。Disinvestment from low value clinical interventions: NICEly done?。BMJ，343。
54.	Esserman, L. J.、Thompson, I. M. Jr.、Reid, B.(2013)。Overdiagnosis and overtreatment in cancer: an opportunity for improvement。JAMA，310，797-798。
55.	Young, J.、De Sutter, A.、Merenstein, D.(2008)。Antibiotics for adults with clinically diagnosed acute rhinosinusitis: a meta-analysis of individual patient data。Lancet，371，908-914。
56.	Airagnes, G.、Pelissolo, A.、Lavallée, M.、Flament, M.、Limosin, F.(2016)。Benzodiazepine misuse in the elderly: risk factors, consequences, and management。Curr Psychiatry Rep，18。
57.	Bhatia, R. S.、Levinson, W.、Shortt, S.(2015)。Measuring the effect of Choosing Wisely: an integrated framework to assess campaign impact on low-value care。BMJ Qual Saf，24，523-531。
58.	Levinson, W.、Huynh, T.(2014)。Engaging physicians and patients in conversations about unnecessary tests and procedures: Choosing Wisely Canada。CMAJ，186，325-326。
59.	Levinson, W.、Born, K.、Wolfson, D.(2018)。Choosing Wisely campaigns: a work in progress。JAMA，319，1975-1976。
60.	Kost, A.、Genao, I.、Lee, J. W.、Smith, S. R.(2015)。Clinical decisions made in primary care clinics before and after choosing wisely。J Am Board Fam Med，28，471-474。
61.	Simos, D.、Hutton, B.、Clemons, M.(2015)。Are physicians choosing wisely when imaging for distant metastases in women with operable breast cancer?。J Oncol Pract，11，62-68。
62.	Chambers, J. D.、Salem, M. N.、D'Cruz, B. N.、Subedi, P.、Kamal-Bahl, S. J.、Neumann, P. J.(2017)。A review of empirical analyses of disinvestment in itiatives。Value Health，20，909-918。
63.	Dehkordy, S. F.、Hall, K. S.、Roach, A. L.、Rothman, E. D.、Dalton, V. K.、Carlos, R. C.(2015)。Trends in breast cancer screening: impact of u.s. preventive services task force recommendations。Am J Prev Med，49，419-422。
64.	Liao, J. M.、Navathe, A. S.、Schapira, M. M.、Weissman, A.、Mitra, N.、Asch, D. A.(2018)。When reducing low-value care in hospital medicine saves money, who benefits?。J Hosp Med，13，45-48。
65.	Middleton, J. L.(2018)。Putting Choosing Wisely into practice。Am Fam Physician，97，432-433。
66.	Colla, C. H.(2014)。Swimming against the current--what might work to reduce low-value care。N Engl J Med，371，1280-1283。
67.	Isaac, T.、Rosenthal, M. B.、Colla, C. H.(2018)。Measuring overuse with electronic health records data。Am J Manag Care，24，19-25。
68.	Sharp, A. L.、Shen, E.、Kanter, M. H.、Berman, L. J.、Gould, M. K.(2017)。Low-value antibiotic prescribing and clinical factors influencing patient satisfaction。Am J Manag Car，23，589-594。
69.	Maughan, B. C.、Baren, J. M.、Shea, J. A.、Merchant, R. M.(2015)。Choosing wisely in emergency medicine: a national survey of emergency medicine academic chairs and division chiefs。Acad Emerg Med，22，1506-1510。
70.	Kullgren, J. T.、Krupka, E.、Schachter, A.(2018)。Precommitting to choose wisely about low-value services: a stepped wedge cluster randomised trial。BMJ Qual Saf，27，355-364。
71.	Wise, J.(2017)。Choosing Wisely: how the UK intends to reduce harmful medical overuse。BMJ，356，j370。
72.	Volpp, K. G.、Loewenstein, G.、Asch, D. A.(2012)。Choosing wisely: low-value services, utilization, and patient cost sharing。JAMA，308，1635-1636。
73.	Mafi, J. N.、Edwards, S. T.(2016)。How can we improve the efficiency of specialty care?。J Gen Intern Med，31，1267-1269。
74.	Chassin, Mark R.、Galvin, Robert W.(1998)。The Urgent Need to Improve Health Care Quality. Institute of Medicine National Roundtable on Health Care Quality。JAMA: The Journal of the American Medical Association，280(11)，1000-1005。

圖書
1.	World Health Organization(2010)。The world health report: health systems financing--the path to universal coverage。Geneva：World Health Organization。
2.	Wolfe, A.(2001)。Institute of Medicine: Crossing the Quality Chasm: A New Health System for The 21st Century。Washington, DC：National Academy Press。
3.	Organisation for Economic Co-operation and Development(2017)。Tackling Wasteful Spending on Health。Paris：OECD Publishing。
4.	OECD(2017)。Health at a Glance. 2017。Paris：OECD Publishing。
5.	Smith, M.、Saunders, R.、Stuckhardt, L.、McGinnis, M. J.(2013)。Best Care at Lower Cost: The Path to Continuously Learning Health Care in America。Washington, DC：National Academies Press。
6.	衛生福利部(2017)。中華民國105年國民醫療保健支出。台北：衛生福利部。延伸查詢

其他
1.	ABIM Foundation。Choosing Wisely，http://abimfoundation.org/what-we-do/choosing-wisely。
2.	NHS Trust。NICE 'do not do' recommendations，https://www.nice.org.uk/media/default/sharedlearning/716_716donotdobookletfinal.pdf。
3.	ABIM Foundation。Choosing Wisely, 2018，http://www.choosingwisely.org/。
4.	US Preventive Services Task Force。Recommendations for adults 2013，https://www.uspreventiveservicestaskforce.org/。
5.	內政部戶政司(20180410)。老年人口突破14%，內政部：臺灣正式邁入高齡社會，https://www.moi.gov.tw/News_Content.aspx?n=2&s=11663。延伸查詢

推文
推薦
引用網址
引用嵌入語法
轉寄

top

:::

相關期刊
相關論文
相關專書
相關著作
熱門點閱

1.	低價值醫療：國際經驗與對臺灣的啟示
2.	探討低價值醫療利用之相關因素--以高階影像檢查為例
3.	預算支出目標調整之困難度對後續預算執行及預算績效之影響：以策略性溝通作為權變因素
4.	評論：低價值醫療之探討
5.	「全心三總、全人照護」--三軍總醫院
6.	從全人照護之醫學教育中體現醫療品質的奧祕
7.	地區醫院試評參與心得--觀評鑑、評鑑觀
8.	區域醫院試評參與心得
9.	醫學中心參與醫院評鑑暨教學醫院評鑑試評--臺中榮民總醫院的經驗

無相關博士論文

無相關書籍

無相關著作

1.	低價值醫療：國際經驗與對臺灣的啟示

QR Code

臺灣人文及社會科學引文索引資料庫系統

詳目顯示

臺灣人文及社會科學引文索引資料庫