{"title":"以选定的卫生项目为例,以价值为基础的医学为波兰卫生保健系统在后流行病现实中的机会","authors":"Iwona Czerska","doi":"10.19195/2658-1310.28.3.4","DOIUrl":null,"url":null,"abstract":"The article aims to present the concept of value-based medicine (VBM) in the Polish health care system. The author reviewed the literature on the subject and formulated a research problem and two research questions to solve it. The issue of considering is health programs of the National Health Fund based on value. The author used professional scientific databases: Taylor & Francis online, PubMed, and Google Scholar to collect the bibliography. The literature on the subject covers mainly the years 2020–2022. First, the author presented the study’s theoretical framework by defining the EBM and VBM concepts, discussing the three main pillars of VBM, and highlighting its value limitations. Next, the author referred to the coronavirus pandemic and its impact on global health systems. The author characterized the current state of the health care system in Poland and listed its prospects for the post-pandemic future. Finally, the author presented three selected health programs based on the VBM model implemented in Polish healthcare: comprehensive coordinated care after myocardial infarction (KOS‑Zawał), POZ PLUS model, and comprehensive treatment of chronic wounds (KLRP-1 and KLRP-2). Of course, the discussed programs require further improvement and modification and may constitute the basis for developing other, new value-based programs. The value-based medicine model can complement the three branches of medicine — evidence-based, narrative, and integrative. Including these elements in the VBM model could benefit the entire health system, primarily medical staff and patients.","PeriodicalId":34121,"journal":{"name":"Ekonomia Spoleczna","volume":"20 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2023-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Value-based medicine as an opportunity for the Polish health care system in a post-pandemic reality on the example of selected health programs\",\"authors\":\"Iwona Czerska\",\"doi\":\"10.19195/2658-1310.28.3.4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"The article aims to present the concept of value-based medicine (VBM) in the Polish health care system. The author reviewed the literature on the subject and formulated a research problem and two research questions to solve it. The issue of considering is health programs of the National Health Fund based on value. The author used professional scientific databases: Taylor & Francis online, PubMed, and Google Scholar to collect the bibliography. The literature on the subject covers mainly the years 2020–2022. First, the author presented the study’s theoretical framework by defining the EBM and VBM concepts, discussing the three main pillars of VBM, and highlighting its value limitations. Next, the author referred to the coronavirus pandemic and its impact on global health systems. The author characterized the current state of the health care system in Poland and listed its prospects for the post-pandemic future. Finally, the author presented three selected health programs based on the VBM model implemented in Polish healthcare: comprehensive coordinated care after myocardial infarction (KOS‑Zawał), POZ PLUS model, and comprehensive treatment of chronic wounds (KLRP-1 and KLRP-2). Of course, the discussed programs require further improvement and modification and may constitute the basis for developing other, new value-based programs. The value-based medicine model can complement the three branches of medicine — evidence-based, narrative, and integrative. Including these elements in the VBM model could benefit the entire health system, primarily medical staff and patients.\",\"PeriodicalId\":34121,\"journal\":{\"name\":\"Ekonomia Spoleczna\",\"volume\":\"20 1\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2023-03-07\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Ekonomia Spoleczna\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.19195/2658-1310.28.3.4\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Ekonomia Spoleczna","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.19195/2658-1310.28.3.4","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
本文旨在介绍波兰卫生保健系统中基于价值的医学(VBM)的概念。笔者对相关文献进行了梳理,并提出了一个研究问题和两个研究问题。考虑的问题是基于国家卫生基金的卫生项目价值。作者使用专业的科学数据库:Taylor & Francis online、PubMed、Google Scholar收集文献。关于这一主题的文献主要涵盖2020-2022年。首先,作者通过定义实证医学和实证医学概念,讨论实证医学的三大支柱,并强调其价值局限性,提出了本研究的理论框架。接下来,作者提到了冠状病毒大流行及其对全球卫生系统的影响。作者描述了波兰卫生保健系统的现状,并列出了大流行后的前景。最后,作者提出了三个基于波兰医疗保健中实施的VBM模型的健康方案:心肌梗死后综合协调护理(KOS - zawaov), POZ PLUS模型和慢性伤口综合治疗(KLRP-1和KLRP-2)。当然,所讨论的程序需要进一步改进和修改,并可能构成开发其他新的基于价值的程序的基础。以价值为基础的医学模式可以补充医学的三个分支——循证医学、叙事医学和综合医学。将这些因素纳入VBM模型可以使整个卫生系统受益,主要是医务人员和患者。
Value-based medicine as an opportunity for the Polish health care system in a post-pandemic reality on the example of selected health programs
The article aims to present the concept of value-based medicine (VBM) in the Polish health care system. The author reviewed the literature on the subject and formulated a research problem and two research questions to solve it. The issue of considering is health programs of the National Health Fund based on value. The author used professional scientific databases: Taylor & Francis online, PubMed, and Google Scholar to collect the bibliography. The literature on the subject covers mainly the years 2020–2022. First, the author presented the study’s theoretical framework by defining the EBM and VBM concepts, discussing the three main pillars of VBM, and highlighting its value limitations. Next, the author referred to the coronavirus pandemic and its impact on global health systems. The author characterized the current state of the health care system in Poland and listed its prospects for the post-pandemic future. Finally, the author presented three selected health programs based on the VBM model implemented in Polish healthcare: comprehensive coordinated care after myocardial infarction (KOS‑Zawał), POZ PLUS model, and comprehensive treatment of chronic wounds (KLRP-1 and KLRP-2). Of course, the discussed programs require further improvement and modification and may constitute the basis for developing other, new value-based programs. The value-based medicine model can complement the three branches of medicine — evidence-based, narrative, and integrative. Including these elements in the VBM model could benefit the entire health system, primarily medical staff and patients.