rfhealthЗдравоохранение Российской ФедерацииHealth care of the Russian Federation0044-197X2412-0723Federal Scientific Center of Hygiene named after F.F. Erisman10.47470/0044-197X-2023-67-1-5-13rfhealth-1095Research ArticleОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯHEALTH CARE ORGANIZATIONСистема здравоохранения, основанная на ценностях (систематический обзор)Values-based healthcare (systematic review)https://orcid.org/0000-0001-8288-939XХодаковаОльга В.KhodakovaOlga V.noemail@neicon.ruhttps://orcid.org/0000-0001-9003-6207ЕвстафьеваЮлия ВалерьевнаEvstafievaYulia V.

Канд. мед. наук, доцент каф. общественного здоровья и здравоохранения и экономики здравоохранения ФГБОУ ВО «Читинская государственная медицинская академия» Минздрава РФ, 672090, Чита.

e-mail: yuliya_evstafeva@bk.ru

MD, PhD, associate Professor of the Department of Public Health and Healthcare, Health Economics, Chita State Medical Academy, Chita, 672090, Russian Federation.

e-mail: yuliya_evstafeva@bk.ru

yuliya_evstafeva@bk.ruhttps://orcid.org/0000-0002-4449-4810ДеевИван А.DeevIvan A.noemail@neicon.ruhttps://orcid.org/0000-0003-0098-1403КобяковаОльга С.KobyakovaOlga S.noemail@neicon.ruФГБУ «Центральный научно-исследовательский институт организации и информатизации здравоохранения» Министерства здравоохранения Российской ФедерацииРоссияRussian Research Institute of HealthRussian FederationФГБОУ ВО «Читинская государственная медицинская академия» Министерства здравоохранения Российской ФедерацииРоссияChita State Medical AcademyRussian Federation202328022023671513Copyright © Ходакова О.В., Евстафьева Ю.В., Деев И.А., Кобякова О.С., 20232023Ходакова О.В., Евстафьева Ю.В., Деев И.А., Кобякова О.С.Khodakova O.V., Evstafieva Y.V., Deev I.A., Kobyakova O.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rfhealth.ru/jour/article/view/1095

Современная демографическая ситуация характеризуется увеличением ожидаемой продолжительности жизни, ростом числа хронических неинфекционных заболеваний, что приведёт к увеличению дефицита ресурсов в здравоохранении и в целом негативно отразится на экономике государств. Перед здравоохранением стоит задача по сохранению здоровья населения в эти дополнительные годы жизни. Одной из современных концепций по оптимальному использованию ресурсов, оценке эффективности работы систем здравоохранения является ценностно-ориентированное здравоохранение (ЦОЗ). Ценность для пациента — это результат оказания медицинской помощи в отношении здоровья, имеющий значение для пациента, критерии достижения которого определяются самим пациентом. Согласно концепции ЦОЗ, измерение результатов и затрат для каждого пациента является частью стратегической программы перехода к высокоэффективной системе здравоохранения.

Цель исследования — изучение особенностей ЦОЗ в разных странах мира. Систематический обзор проведён согласно руководству PRISMA.

Поиск литературы выполнен в электронных базах PubMed/MEDLINE, Scopus, eLibrary, CyberLeninka, в системах Yandex и Googlе среди англоязычных и русскоязычных публикаций.

В системах здравоохранения стран, внедривших ценностно-ориентированный подход, деятельность медицинских организаций оценивается согласно показателям, которые отражают ценность для пациента. Для объединения имеющихся ресурсов и координации оказания медицинской помощи создаются мультидисциплинарные бригады специалистов, и пациент обеспечивается полным объёмом услуг без задержек на всех этапах. В таких моделях все процессы в медицинских организациях стандартизированы, что позволяет сокращать потери и издержки на всех этапах оказания медицинской помощи и повышать результаты, представляющие ценность для пациентов.

Участие авторов

Участие авторов: Ходакова О.В. — концепция и дизайн исследования, сбор и обработка материала, написание текста; Евстафьева Ю.В. — концепция и дизайн исследования, сбор и обработка материала, написание текста; Деев И.А. — написание текста, редактирование; Кобякова О.С. — редактирование. Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Финансирование

Финансирование. Исследование не имело спонсорской поддержки.

Конфликт интересов

Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов в связи с публикацией данной статьи.

Поступила 20

Поступила 20.07.2022 Принята в печать 19.09.2022Опубликована 28.02.2023

The current demographic situation is characterized by an increase in life expectancy and gain in the number of chronic non-communicable diseases. Healthcare is faced with the task of preserving the population health in these additional years of life, which, in turn, will lead to an increase in the shortage of resources in healthcare and, in general, negatively affect the economies of states. One of the modern concepts of optimal use of resources, evaluation of the effectiveness of health systems is value-based healthcare. In the described model, the value for the patient is the result of medical care in relation to health, which is important for the patient, the criteria for achieving which are determined by the patient himself. According to the concept of the Center, measuring the results and costs for each patient is part of the strategic program for the transition to a highly efficient healthcare system.

The purpose of the study is to investigate the features of value-based healthcare in different countries of the world.

A systematic review was conducted according to the PRISMA guidelines.

The literature search was performed in the electronic databases PubMed/MEDLINE, Scopus, eLibrary, CyberLeninka, and Yandex and Google systems among English and Russian-language reports. In the healthcare systems of countries that have implemented a value-based approach, the activities of medical institutions are evaluated according to indicators that reflect the value to the patient. To combine the available resources and coordinate the provision of medical care, multidisciplinary teams of specialists are being created and the patient is provided with a full range of services without delay at all stages. In such models, all processes in medical institutions are standardized, which makes it possible to reduce losses and costs at all stages of medical care and increase the results that are valuable for patients.

Contribution of the authors: Khodakova O.V. — the research concept, collection the material, writing the text; Evstafieva Yu.V. — the research concept, collection the material, writing the text; Deev I.A. — writing the text, editing; Kobyakova O.S. — editing. All authors are responsible for the integrity of all parts of the manuscript and approval of its final version.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: July 20, 2022 Accepted: September 19, 2022Published: February 28, 2023

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The authors declare that there are no conflicts of interest present.