Garcia L B, Safriet S, Russell D C
BDC Advisors, LLC, San Francisco, CA, USA.
Healthc Financ Manage. 1998 Jul;52(7):52-7.
Although capitation has been instrumental in lowering healthcare costs, it also has generated growing concern about quality of and access to healthcare services. Shifting to pay-for-performance compensation programs, however, allows health plans and physicians to balance economic incentives and operational outcomes, which in turn encourages improved performance and benefits providers, payers, and patients alike. A successful pay-for-performance program requires selection of appropriate performance criteria, accurate assessment of the financial impact, development of an effective means of communication between the health plan and physicians, and gradual implementation of the plan.
尽管按人头付费在降低医疗成本方面发挥了作用，但它也引发了人们对医疗服务质量和可及性的日益关注。然而，转向按绩效付费的薪酬计划，能让健康计划和医生平衡经济激励与运营成果，进而鼓励提高绩效，并使提供者、支付方和患者都受益。一个成功的按绩效付费计划需要选择合适的绩效标准、准确评估财务影响、建立健康计划与医生之间有效的沟通方式，以及逐步实施该计划。
