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Value generation and health reform in emergency medical services.
Prehosp Disaster Med ; 27(2): 111-4, 2012 Apr.
Article en En | MEDLINE | ID: mdl-22591776
American Emergency Medical Services (EMS) agencies largely have been untouched by the dramatic health care reform efforts underway, although change seems imminent. Clarifying the role of the modern EMS system, and the yardsticks used to evaluate its performance, will be a challenge.This paper introduces the concept of value (or outcomes to cost ratio) in EMS, and offers value assessment as a means by which reform decisions can be framed. The best reform decisions are those that optimize both costs and outcomes. This includes: (1) attention to the patient experience; (2) disallowing the provision of unhelpful, harmful or disproven prehospital care; and (3) expanding patient dispositions beyond Emergency Departments. Costs of care will need to be tracked carefully and acknowledged. Value generation should serve as the goal of ongoing EMS reform efforts.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Garantía de la Calidad de Atención de Salud / Reforma de la Atención de Salud / Servicios Médicos de Urgencia Aspecto: Patient_preference Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Prehosp Disaster Med Asunto de la revista: MEDICINA DE EMERGENCIA Año: 2012 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Garantía de la Calidad de Atención de Salud / Reforma de la Atención de Salud / Servicios Médicos de Urgencia Aspecto: Patient_preference Límite: Humans País/Región como asunto: America do norte Idioma: En Revista: Prehosp Disaster Med Asunto de la revista: MEDICINA DE EMERGENCIA Año: 2012 Tipo del documento: Article Pais de publicación: Estados Unidos