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首页> 外文期刊>Eating behaviors >Corrigendum to 'Preliminary Validation of the Yale Food Addiction Scale for Children' [Eat. Behav. 14 (2013) 508-512]
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Corrigendum to 'Preliminary Validation of the Yale Food Addiction Scale for Children' [Eat. Behav. 14 (2013) 508-512]

机译：《耶鲁儿童食物成瘾量表的初步验证》更正。行为。 14（2013）508-512]

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Objective To articulate the concept of high-value care (i.e. clinically relevant, patient-important benefit at lowest possible cost) and suggest strategies by which clinicians can promote such care in rendering the Australian healthcare system more affordable and sustainable. Methods Strategies were developed by the author based on personal experience in clinical practice, evidence-based medicine and quality improvement. Relevant literature was reviewed in retrieving studies supporting each strategy. Results Ten strategies were developed: (1) minimise errors in diagnosis; (2) discontinue low- or no-value practices that provide little benefit or cause harm; (3) defer the use of unproven interventions; (4) select care options according to comparative cost-effectiveness; (5) target clinical interventions to those who derive greatest benefit; (6) adopt a more conservative approach nearing the end of life; (7) actively involve patients in shared decision making and self-management; (8) minimise day-to-day operational waste; (9) convert healthcare institutions into rapidly learning organisations; and (10) advocate for integrated patient care across all clinical settings. Conclusions Clinicians and their professional organisations, in partnership with managers, can implement strategies capable of maximising value and sustainability of health care in Australia. What is known about this topic? Value-based care has emerged as a unitary concept that integrates quality and cost, and is being increasingly used to inform healthcare policy making and reform. What does this paper add? There is scant literature that translates the concept of high value care into actionable enhancement strategies for clinicians in everyday practice settings. This article provides 10 strategies with supporting studies in an attempt to fill this gap. What are the implications for practitioners? If all practitioners, in partnership with healthcare managers, attempted to enact all 10 strategies in their workplaces, a significant quantum of healthcare resources could be redirected from low- to high-value care, culminating in much greater health benefit from the healthcare dollars currently being spent. However, such reforms will require a shift in clinician thinking and practice away from volume-based care to value-based care.
机译：目的阐明高价值护理的概念（即临床相关的，以尽可能低的成本获得患者重要的利益），并提出一些策略，通过这些策略，临床医生可以促进这种护理，从而使澳大利亚的医疗体系更加负担得起和可持续。方法作者根据在临床实践，循证医学和质量改善方面的个人经验制定了策略。在检索支持每种策略的研究中回顾了相关文献。结果制定了十项策略：（1）最大限度地减少诊断错误; （2）停止提供几乎没有收益或造成伤害的低价值或无价值的做法; （3）推迟使用未经证实的干预措施; （4）根据比较的成本效益选择护理方案; （5）针对受益最大的人进行临床干预; （6）在寿命将尽时采取更保守的方法; （7）积极让患者参与共同的决策和自我管理; （8）减少日常运营浪费; （9）将医疗机构转变为快速学习的组织; （10）提倡在所有临床环境中进行综合的患者护理。结论临床医生及其专业组织与管理人员合作，可以实施能够最大化澳大利亚医疗保健价值和可持续性的战略。对这个话题有什么了解？基于价值的护理已成为一个统一概念，将质量和成本结合在一起，并越来越多地用于为医疗保健政策制定和改革提供信息。本文增加了什么？很少有文献将高价值护理的概念转化为临床医生在日常实践中可行的增强策略。本文提供了10种策略来支持研究，以填补这一空白。对从业者有什么影响？如果所有从业者都与医疗保健管理者合作，尝试在其工作场所制定所有10种策略，那么大量医疗保健资源便可以从低价医疗转向高价值医疗，从而最终从目前获得的医疗费用中获得更大的健康收益花费。但是，这样的改革将要求临床医生的思维和实践从基于数量的护理转向基于价值的护理。

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