Medical nutrition therapy in the context of value-based healthcare
10.3760/cma.j.cn115822-20220304-00043
- VernacularTitle:价值医疗理念下的医学营养疗法
- Author:
Mingwei ZHU
1
;
Liru CHEN
Author Information
1. 北京医院肝胆胰外科 国家老年医学中心 中国医学科学院老年医学研究院 100730
- Keywords:
Value-based healthcare;
Medical nutrition therapy;
Nutritional risk screening;
Malnutrition diagnosis;
Oral nutritional supplement;
Cost/benefit
- From:
Chinese Journal of Clinical Nutrition
2022;30(3):129-133
- CountryChina
- Language:Chinese
-
Abstract:
The purpose of value-based healthcare is to effectively control medical costs on the basis of comprehensively improved healthcare quality, which is the key focus of medical system reform in China. Improving information system framework, establishing scientific evaluation methods and transforming medical insurance payment methods are the impetus for value-based healthcare practice in China. "Screening, assessment and intervention" is the critical step in standardized medical nutrition management. In line with the connotation of value-based healthcare, nutritional risk screening aims to improve clinical outcomes. The diagnosis of malnutrition per the Global Leadership Initiative on Malnutrition (GLIM) criteria enables the inclusion into Diagnosis Related Groups (DRGs). Oral nutritional supplement is the preferred medical nutrition treatment for patients at nutritional risk or with malnutrition and insufficient food intake. Standardized application can reduce weight loss, improve clinical outcomes, save medical costs and improve the health and survival of malnourished elderly patients at a lower cost, exemplifying the value-based healthcare model.
