通过以系统为基础的血液学来识别和解决血液学护理的不足

IF 3.4 3区医学 Q2 HEMATOLOGY

Research and Practice in Thrombosis and Haemostasis Pub Date : 2025-05-01 DOI:10.1016/j.rpth.2025.102881

Jacob C. Cogan , Allison E. Burnett , Alexandra Power-Hays , Geoffrey D. Barnes , Ming Y. Lim

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引用次数: 0

摘要

与过度使用不必要的检查和治疗相比，高价值血液学护理的使用不足受到的关注相对较少。在这篇综述中，我们分析了几个领域未充分利用的护理实例：程序性（下腔静脉过滤器回收），医学（在镰状细胞性贫血中使用羟基脲）和面向患者（抗凝前教育）。对于每一个，我们证明需要增加摄取，并强调以系统为基础的血液学干预的例子来实现这一目标。虽然从节省成本的角度来看，减少过度使用的护理很有吸引力，但我们主张对促进未充分利用的护理给予同等的关注和投资。

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Identifying and addressing underuse in hematologic care through systems-based hematology

Underuse of high-value hematologic care receives comparatively less attention than the overuse of unnecessary tests and treatments. In this review, we analyze examples of underutilized care in several domains: procedural (inferior vena cava filter retrieval), medical (hydroxyurea use in sickle cell anemia), and patient-facing (education prior to anticoagulation). For each, we justify the need for increased uptake and highlight examples of systems-based hematology interventions to accomplish this. While reducing overused care is appealing from a cost savings perspective, we advocate for equal attention and investment toward promoting underused care.

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