Taxonom铆a pr谩ctica de la 芦desinversi贸n sanitaria禄 en lo que no a帽ade valor, para hacer sostenible el Sistema Nacional de Salud
- 作者：J.R. Repullo jrepullo@isciii.es
- 关键词：Crisis econó ; mica ; Sostenibilidad ; Desinversió ; n ; Efectividad ; Eficiencia ; Seguridad
- 刊名：Revista de Calidad Asistencial
- 出版年：2012
- 期刊代码：pca305_1134282X
- 类别：med
- 出版时间：May-June, 2012
- 卷：27
- 期：3
- 页码：130-138
- 文件大小：570 K
摘要
The environment of severe cost containment has led to the active search of 鈥渋nternal sustainability鈥?of health systems; the disinvestment in all non-value added services is one of the tools used. This article provides the taxonomy to identify ineffective, unsafe, unnecessary, unsuccessful, unkind and unwise care practices and discusses their implications in relation to patients ordered according to their severity, as well as the expected health gains of the intervention. Finally, the feasibility of those disinvestment policies is analysed according to macro-,middle, and micro-management scenarios.