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评估支付机制:我们如何衡量不必要的医疗服务?

Evaluating payment mechanisms: how can we measure unnecessary care?

作者信息

Liu X, Mills A

机构信息

School of Public Health, Shandong Medical University, China.

出版信息

Health Policy Plan. 1999 Dec;14(4):409-13. doi: 10.1093/heapol/14.4.409.

DOI:10.1093/heapol/14.4.409
PMID:10787657
Abstract

There has been substantial concern that linking hospital or physician remuneration to the amount of care provided will encourage excessive provision of health care. Studies that seek to explore this relationship require methods to measure unnecessary care. This paper presents and discusses a method used to assess the magnitude of unnecessary care in the context of an evaluation of the impact of paying bonuses to physicians employed in public hospitals in Shandong Province, China.

摘要

人们一直非常担心,将医院或医生的薪酬与所提供的护理量挂钩会鼓励过度提供医疗服务。旨在探讨这种关系的研究需要有衡量不必要护理的方法。本文介绍并讨论了一种在中国山东省公立医院对医生发放奖金的影响评估背景下,用于评估不必要护理程度的方法。

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