Bufalino Vincent, Peterson Eric D, Burke Gregory L, LaBresh Kenneth A, Jones Daniel W, Faxon David P, Valadez Adolfo M, Brass Lawrence M, Fulwider Valere B, Smith Renee, Krumholz Harlan M, Schwartz J Sandy
Circulation. 2006 Feb 28;113(8):1151-4. doi: 10.1161/CIRCULATIONAHA.105.171760. Epub 2006 Jan 9.
Payment-for-quality programs are emerging in the wake of rising healthcare costs and a demonstrated need for quality improvement in healthcare delivery in the United States. These programs, also known as "pay-for-performance" or "pay-for-value" programs, attempt to realign financial incentives with the quality of care delivered. The American Heart Association's Reimbursement, Coverage, and Access Policy Development Workgroup provides in this statement a set of principles and recommendations for the development, implementation, and evaluation of these programs. The statement also suggests future areas for research around the realignment of financial incentives to improve both the quality of care delivered and patient outcomes.
在美国,随着医疗成本的不断上升以及医疗服务质量改善的迫切需求,基于质量的支付计划应运而生。这些计划,也被称为“按绩效付费”或“按价值付费”计划,试图使经济激励与所提供的医疗质量重新挂钩。美国心脏协会的报销、覆盖范围和准入政策制定工作组在本声明中为这些计划的制定、实施和评估提供了一套原则和建议。该声明还提出了未来围绕重新调整经济激励措施以提高医疗服务质量和患者治疗效果的研究领域。