Jackson T, Sevil P
Monash University Health Economics Unit.
Aust Health Rev. 1997;20(3):38-54. doi: 10.1071/ah970038.
Policy-makers have always found it problematic to formulate fair and consistent counting rules for public hospital outpatient activities. In the context of output-based funding, such rules have consequences which can affect patient care. This paper reviews the rationale for organising multidisciplinary clinics and reports on a series of focus groups convened in four Melbourne teaching hospitals to consider funding policy for such clinics. It discusses issues of targeting outpatient services, along with implications for payment policy. It evaluates counting rules in terms of intended and unintended consequences in the context of Victoria's introduction of output-based funding for outpatient services.
政策制定者一直发现，为公立医院门诊活动制定公平且一致的计数规则存在问题。在基于产出的资金投入背景下，此类规则会产生影响患者护理的后果。本文回顾了组织多学科诊所的基本原理，并报告了在墨尔本四家教学医院召开的一系列焦点小组会议，以探讨此类诊所的资金政策。文中讨论了门诊服务的目标设定问题以及对支付政策的影响。在维多利亚州引入基于产出的门诊服务资金投入的背景下，本文从预期和非预期后果方面对计数规则进行了评估。
