{"id":140248,"date":"2019-06-18T10:05:07","date_gmt":"2019-06-18T10:05:07","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/%e8%a5%bf%e7%8f%ad%e7%89%99%e9%9f%a6-huelva-university-hospital-%e5%bf%83%e8%84%8f%e8%a1%b0%e7%ab%ad%e6%8a%a4%e7%90%86%e8%bd%ac%e5%9e%8b\/"},"modified":"2026-03-01T10:35:05","modified_gmt":"2026-03-01T10:35:05","slug":"transforming-heart-failure-care-at-huelva-university-hospital-spain","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/zhcn\/operations\/immunoassay\/transforming-heart-failure-care-at-huelva-university-hospital-spain\/","title":{"rendered":"\u897f\u73ed\u7259\u97e6\u5c14\u74e6\u5927\u5b66\u533b\u9662\u5fc3\u810f\u8870\u7aed\u8bca\u7597\u8f6c\u578b"},"content":{"rendered":"<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: 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Calibri,sans-serif;\">\u4e3a\u8bc4\u4f30\u65e9\u671f\u68c0\u6d4b\u548c\u96c6\u4e2d\u7ba1\u7406\u5bf9\u60a3\u8005\u7684\u4ef7\u503c\uff0c\u6211\u4eec\u8bbe\u8ba1\u4e86\u4e24\u9879\u5e72\u9884\u63aa\u65bd\uff1a\u786e\u4fdd\u6240\u6709\u8bca\u65ad\u5728\u4e00\u5468\u5185\u786e\u8bca\u3002\u4e3a\u6b64\uff0c\u6211\u4eec\u5c06B\u578b\u5229\u94a0\u80bd\uff08BNP\uff09\u548cN\u672b\u7aef\u8111\u5229\u94a0\u80bd\u6fc0\u7d20\u539f\uff08NT-proBNP\uff09\u68c0\u6d4b\u4f5c\u4e3a\u4e00\u7ebf\u8bca\u65ad\u624b\u6bb5\uff0c\u4ece\u6025\u8bca\u79d1\u63a8\u5e7f\u81f3\u521d\u7ea7\u8bca\u7597\u3002\u6211\u4eec\u8fd8\u8bbe\u7acb\u4e86\u5fc3\u810f\u8870\u7aed\u8bca\u7597\u4e2d\u5fc3\uff0c\u7591\u4f3c\u75c5\u4f8b\u53ef\u8f6c\u8bca\u81f3\u8be5\u4e2d\u5fc3\u3002\u8be5\u4e2d\u5fc3\u8fd8\u8d1f\u8d23\u7ba1\u7406\u8fd9\u4e9b\u60a3\u8005\u7684\u968f\u8bbf\u62a4\u7406\uff0c\u5e76\u6839\u636e\u5176N\u672b\u7aef\u8111\u5229\u94a0\u80bd\u6fc0\u7d20\u539f\u68c0\u6d4b\u7ed3\u679c\u5236\u5b9a\u4e2a\u6027\u5316\u7684\u968f\u8bbf\u9891\u7387\u3002<\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\u968f\u540e\u6211\u4eec\u5236\u5b9a\u4e86\u6807\u51c6\u5316\u7684\u7ed3\u679c\u8ffd\u8e2a\u4f53\u7cfb\u3002\u91c7\u7528\u54c8\u4f5b\u5546\u5b66\u9662Michael Porter\u5f00\u53d1\u7684&#8221;\u7ed3\u679c\u6d4b\u91cf\u5c42\u7ea7&#8221;\u7406\u8bba[1]\uff0c\u4ee5\u53ca\u56fd\u9645\u5065\u5eb7\u7ed3\u679c\u6d4b\u91cf\u8054\u76df\uff08ICHOM\uff09\u7684\u5fc3\u810f\u8870\u7aed\u60a3\u8005\u7ed3\u679c\u6d4b\u91cf\u6307\u5357[2]\uff08\u89c1\u4e0b\u56fe1\uff09<\/span><\/span><\/span><\/p>\n<p><!-- <img fetchpriority=\"high\" decoding=\"async\" src=\"\/sites\/default\/files\/inline-images\/AL2.png\" alt=\"AL2\" width=\"626\" height=\"352\" data-caption=\"Figure 1: Choosing Metrics for Heart Failure Outcomes Measurement&lt;br \/&gt; Source: Michael Porter\u2019s Outcome Measures Hierarchy (left); The International Consortium for Health Outcomes Measurement\u2019s Heart Failure Data Collection Reference Guide (right).\" data-entity-type=\"file\" data-entity-uuid=\"ab6fbfa0-16f0-4a7f-a015-612e3aac4022\" title=\"\">\n--><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\u786e\u5b9a\u8bc4\u4f30\u7ef4\u5ea6\u540e\uff0c\u5f00\u59cb\u6784\u5efa\u6570\u636e\u6536\u96c6\u6d41\u7a0b\u3002\u4f9d\u636eICHOM\u6307\u5357\uff0c\u6211\u4eec\u5728\u8bca\u7597\u5468\u671f\u5404\u73af\u8282\u8bbe\u7f6e\u4e86\u6570\u636e\u91c7\u96c6\u70b9\u3002\u9080\u8bf7\u60a3\u8005\u53c2\u4e0e\u95ee\u5377\u8bbe\u8ba1\uff0c\u5e76\u8bbe\u7acb\u591a\u91cd\u6821\u9a8c\u70b9\u786e\u4fdd\u6570\u636e\u51c6\u786e\u6027\u3002<\/span><\/span><\/span><\/p>\n<p><!-- <img decoding=\"async\" src=\"\/sites\/default\/files\/inline-images\/AL3.png\" alt=\"AL3\" width=\"626\" height=\"352\" data-caption=\"Figure 2: ICHOM Guidelines for Data Collection in Heart Failure Outcomes&lt;br \/&gt; Source: The International Consortium for Health Outcomes Measurement\" data-entity-type=\"file\" data-entity-uuid=\"23e3d14b-019c-4357-a15f-3001bec9000e\" title=\"\">\n--><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\">\u6700\u540e\u57fa\u4e8e\u4e0d\u540c\u573a\u666f\uff0c\u5efa\u7acb\u4e86\u60a3\u8005\u7ed3\u679c\u4e0e\u6210\u672c\u6548\u76ca\u7684\u5173\u952e\u7ee9\u6548\u6307\u6807\u3002\u5728\u542f\u52a8\u8be5\u9879\u76ee\u524d\uff0c\u6211\u4eec90\u5929\u5185\u7684\u518d\u5165\u9662\u7387\u4e3a37%\u3002\u6211\u4eec\u9884\u8ba1\u5e72\u9884\u63aa\u65bd\u53ef\u5c06\u5176\u964d\u81f328%\u300119%\u62169%\uff0c\u5177\u4f53\u53d6\u51b3\u4e8e\u5e72\u9884\u6548\u679c\u662f\u6700\u4f4e\u9650\u5ea6\u6210\u529f\u3001\u4e2d\u7b49\u6210\u529f\u8fd8\u662f\u975e\u5e38\u6210\u529f\u3002<\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span lang=\"EN-GB\" style=\"font-size: 11.0pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: 'Calibri',sans-serif;\">\u867d\u7136\u5c1a\u672a\u5b8c\u6210\u5b8c\u6574\u7684\u5e74\u5ea6\u5206\u6790\uff0c\u4f46\u622a\u81f3\u76ee\u524d\u7684\u6570\u636e\u975e\u5e38\u4e50\u89c2\u3002\u518d\u5165\u9662\u60a3\u8005\u6570\u91cf\u51cf\u5c11\uff0c\u4e14\u518d\u5165\u9662\u6b21\u6570\u4e5f\u5728\u4e0b\u964d\u3002\u6570\u636e\u663e\u793a30\u5929\u518d\u5165\u9662\u7387\u4e0b\u964d\u4e8688%\u3002\u622a\u81f3\u76ee\u524d\uff0c\u516d\u4e2a\u6708\u518d\u5165\u9662\u7387\u4e0b\u964d70%\uff0c\u4e00\u5e74\u518d\u5165\u9662\u7387\u4e0b\u964d45%\u3002\u6211\u4eec\u8fd8\u6210\u529f\u51cf\u5c11\u4e86\u5fc3\u529b\u8870\u7aed\u60a3\u8005\u6025\u8bca\u5c31\u8bca\u6b21\u6570\u3002\u60a3\u8005\u5065\u5eb7\u72b6\u51b5\u4e5f\u6709\u6240\u6539\u5584\uff0c\u7ebd\u7ea6\u5fc3\u810f\u534f\u4f1a (NYHA) III \u7ea7 [3] \u60a3\u8005\u4eba\u6570\u51cf\u5c11\uff0c\u6b64\u7c7b\u60a3\u8005\u5373\u4f7f\u8fdb\u884c\u4e00\u4e9b\u8f7b\u5fae\u7684\u4f53\u529b\u6d3b\u52a8\u4e5f\u4f1a\u611f\u5230\u56f0\u96be\u3002<\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><span lang=\"EN-GB\" style=\"font-size: 11.0pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: 'Calibri',sans-serif;\"><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMp1011024\" target=\"_blank\" rel=\"noopener\">[1] <\/a>Porter, E.M., 2010. What is Value in Health Care?The New England Journal of Medicine. 363, pp.2477-2481<\/span><\/span><\/span><\/p>\n<p style=\"margin: 0in 0in 8pt;\"><a href=\"https:\/\/www.ichom.org\/portfolio\/heart-failure\/\" target=\"_blank\" rel=\"noopener\">[2]<\/a> ICHOM Heart Failure Standard Set<\/p>\n<p style=\"margin: 0in 0in 8pt;\">[3] \u7ebd\u7ea6\u5fc3\u810f\u75c5\u534f\u4f1a\u5fc3\u529f\u80fd\u5206\u7ea7<\/p>\n<p style=\"margin: 0in 0in 8pt;\"><em><span style=\"font-size: 11pt;\"><span style=\"line-height: 107%;\"><span style=\"font-family: Calibri,sans-serif;\"><span lang=\"EN-GB\" style=\"font-size: 10.0pt;\"><span style=\"line-height: 107%;\">\u672c\u6587\u57fa\u4e8e\u57282018\u5e74\u4e8e\u4e2d\u56fd\u5e7f\u5dde\u4e3e\u884c\u7684Roche Efficiency Days\uff08RED\uff09REDefining Perspectives \u5927\u4f1a\u4e0a\u53d1\u8868\u7684\u9898\u4e3a\u201cValue-based innovation in heart failure patient management\u201d\u7684\u6f14\u8bb2\u3002<\/span><\/span><\/span><\/span><\/span><\/em><\/p>\n<p style=\"margin: 0in 0in 8pt;\">\n","protected":false},"excerpt":{"rendered":"<p>\u6211\u4eec\u5b9e\u9a8c\u5ba4\u8fd1\u671f\u542f\u52a8\u7814\u7a76\uff0c\u65e8\u5728\u8bc4\u4f30\u65b0\u578b\u8bca\u65ad\u6807\u5fd7\u7269\uff08\u5c24\u5176\u662f\u5229\u94a0\u80bd\uff09\u5bf9\u5fc3\u810f\u8870\u7aed\u7ba1\u7406\u7684\u4e34\u5e8a\u4ef7\u503c\u3002\u9009\u62e9\u5fc3\u810f\u8870\u7aed\u4f5c\u4e3a\u7814\u7a76\u5bf9\u8c61\uff0c\u662f\u56e0\u4e3a\u8be5\u75c5\u75c7\u5728\u672c\u5730\u533a\u5df2\u5448\u6d41\u884c\u6001\u52bf\uff0c\u8bb8\u591a\u60a3\u8005\u9700\u53cd\u590d\u4f4f\u9662\u6cbb\u7597 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\u968f\u540e\u6211\u4eec\u5236\u5b9a\u4e86\u6807\u51c6\u5316\u7684\u7ed3\u679c\u8ffd\u8e2a\u4f53\u7cfb\u3002\u91c7\u7528\u54c8\u4f5b\u5546\u5b66\u9662Michael Porter\u5f00\u53d1\u7684&#8221;\u7ed3\u679c\u6d4b\u91cf\u5c42\u7ea7&#8221;\u7406\u8bba[1]\uff0c\u4ee5\u53ca\u56fd\u9645\u5065\u5eb7\u7ed3\u679c\u6d4b\u91cf\u8054\u76df\uff08ICHOM\uff09\u7684\u5fc3\u810f\u8870\u7aed\u60a3\u8005\u7ed3\u679c\u6d4b\u91cf\u6307\u5357[2]\uff08\u89c1\u4e0b\u56fe1\uff09 \u786e\u5b9a\u8bc4\u4f30\u7ef4\u5ea6\u540e\uff0c\u5f00\u59cb\u6784\u5efa\u6570\u636e\u6536\u96c6\u6d41\u7a0b\u3002\u4f9d\u636eICHOM\u6307\u5357\uff0c\u6211\u4eec\u5728\u8bca\u7597\u5468\u671f\u5404\u73af\u8282\u8bbe\u7f6e\u4e86\u6570\u636e\u91c7\u96c6\u70b9\u3002\u9080\u8bf7\u60a3\u8005\u53c2\u4e0e\u95ee\u5377\u8bbe\u8ba1\uff0c\u5e76\u8bbe\u7acb\u591a\u91cd\u6821\u9a8c\u70b9\u786e\u4fdd\u6570\u636e\u51c6\u786e\u6027\u3002 \u6700\u540e\u57fa\u4e8e\u4e0d\u540c\u573a\u666f\uff0c\u5efa\u7acb\u4e86\u60a3\u8005\u7ed3\u679c\u4e0e\u6210\u672c\u6548\u76ca\u7684\u5173\u952e\u7ee9\u6548\u6307\u6807\u3002\u5728\u542f\u52a8\u8be5\u9879\u76ee\u524d\uff0c\u6211\u4eec90\u5929\u5185\u7684\u518d\u5165\u9662\u7387\u4e3a37%\u3002\u6211\u4eec\u9884\u8ba1\u5e72\u9884\u63aa\u65bd\u53ef\u5c06\u5176\u964d\u81f328%\u300119%\u62169%\uff0c\u5177\u4f53\u53d6\u51b3\u4e8e\u5e72\u9884\u6548\u679c\u662f\u6700\u4f4e\u9650\u5ea6\u6210\u529f\u3001\u4e2d\u7b49\u6210\u529f\u8fd8\u662f\u975e\u5e38\u6210\u529f\u3002 \u867d\u7136\u5c1a\u672a\u5b8c\u6210\u5b8c\u6574\u7684\u5e74\u5ea6\u5206\u6790\uff0c\u4f46\u622a\u81f3\u76ee\u524d\u7684\u6570\u636e\u975e\u5e38\u4e50\u89c2\u3002\u518d\u5165\u9662\u60a3\u8005\u6570\u91cf\u51cf\u5c11\uff0c\u4e14\u518d\u5165\u9662\u6b21\u6570\u4e5f\u5728\u4e0b\u964d\u3002\u6570\u636e\u663e\u793a30\u5929\u518d\u5165\u9662\u7387\u4e0b\u964d\u4e8688%\u3002\u622a\u81f3\u76ee\u524d\uff0c\u516d\u4e2a\u6708\u518d\u5165\u9662\u7387\u4e0b\u964d70%\uff0c\u4e00\u5e74\u518d\u5165\u9662\u7387\u4e0b\u964d45%\u3002\u6211\u4eec\u8fd8\u6210\u529f\u51cf\u5c11\u4e86\u5fc3\u529b\u8870\u7aed\u60a3\u8005\u6025\u8bca\u5c31\u8bca\u6b21\u6570\u3002\u60a3\u8005\u5065\u5eb7\u72b6\u51b5\u4e5f\u6709\u6240\u6539\u5584\uff0c\u7ebd\u7ea6\u5fc3\u810f\u534f\u4f1a (NYHA) III \u7ea7 [3] \u60a3\u8005\u4eba\u6570\u51cf\u5c11\uff0c\u6b64\u7c7b\u60a3\u8005\u5373\u4f7f\u8fdb\u884c\u4e00\u4e9b\u8f7b\u5fae\u7684\u4f53\u529b\u6d3b\u52a8\u4e5f\u4f1a\u611f\u5230\u56f0\u96be\u3002 [1] Porter, E.M., 2010. What is Value in Health Care?The New England Journal of Medicine. 363, pp.2477-2481 [2] ICHOM Heart Failure Standard Set [3] \u7ebd\u7ea6\u5fc3\u810f\u75c5\u534f\u4f1a\u5fc3\u529f\u80fd\u5206\u7ea7 \u672c\u6587\u57fa\u4e8e\u57282018\u5e74\u4e8e\u4e2d\u56fd\u5e7f\u5dde\u4e3e\u884c\u7684Roche Efficiency Days\uff08RED\uff09REDefining Perspectives \u5927\u4f1a\u4e0a\u53d1\u8868\u7684\u9898\u4e3a\u201cValue-based innovation in heart failure patient management\u201d\u7684\u6f14\u8bb2\u3002<\/p>\n","protected":false},"author":1,"featured_media":137924,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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