RESUMO
For the busy clinician, educator, or manager, it is becoming an increasing challenge to filter the literature to what is relevant to one's practice and then update one's practice based on the current evidence. The purpose of this paper is to review the recent literature related to long-term oxygen therapy, pulmonary rehabilitation, airway management, acute lung injury and acute respiratory distress syndrome, respiratory care education, and respiratory care management. These topics were chosen and reviewed in a manner that is most likely to have interest to the readers of Respiratory Care.
Assuntos
Manuseio das Vias Aéreas , Doenças Respiratórias/terapia , Lesão Pulmonar Aguda/terapia , Manuseio das Vias Aéreas/métodos , Centers for Medicare and Medicaid Services, U.S. , Continuidade da Assistência ao Paciente/economia , Progressão da Doença , Cuidado Periódico , Humanos , Hipóxia/terapia , Medicare/economia , Oxigenoterapia , Doença Pulmonar Obstrutiva Crônica/reabilitação , Síndrome do Desconforto Respiratório/terapia , Doenças Respiratórias/fisiopatologia , Doenças Respiratórias/reabilitação , Estados UnidosRESUMO
In order to determine, document, and communicate the value of respiratory therapists performing respiratory care procedures, the respiratory care profession needs to position itself to capture and report both time and value standards that can be applied in allocating respiratory care resources. To do this, we propose a new metric called value-efficiency. If we wish to use value-efficiency as a metric to justify respiratory care activities and support labor budgets, there are three key considerations: (1) What value does respiratory care add to the health care organization? (2) Are the interventions provided necessary and of clinical value? (3) What is the value of the respiratory therapist in the delivery of these services? Significant challenges are facing the respiratory care profession and a focus on value-efficiency is a direction the profession must pursue. This approach is a practical response to the increasing demands of payers, administrators, consultants, and patients.