癌症患者低价值医疗服务:内涵辨析、测量指标与消减策略分析

Low-value Cancer Care Services: Connotation Analysis, Measurement Indicators, and Reduction Strategy

消减低价值医疗服务是优化癌症患者服务模式、提升服务质量和价值的关键举措。文章在梳理了癌症患者低价值医疗服务的概念内涵基础上,对国内外与其相关的测量指标进行了比较,并从“个体—机构—系统”3个层面阐释了癌症患者低价值医疗服务的生成逻辑,从服务价值评估框架构建、价值评估成果传播、药物准入机制衔接、全周期医疗服务监测、赋能医患共同决策5个方面提出了癌症患者低价值医疗服务的消减策略。

Reducing low-value care is a key measure to optimize service model for cancer patients and improve the quality of and value of care. We summarizes the conceptual connotation of low-value medical services for cancer patients,compares the relevant measurement indicators at home and abroad,explains the logic of low-value medical services use for cancer patients at the three levels of“individual-institution-system”,and proposes strategies for reducing low-value medical services for cancer patients in five aspects: construction of service value framework,dissemination of evaluation results,connection of drug access mechanisms,monitoring of cancer care services,and empowering shared decision-making.