公共财政资助医疗保健中的绩效薪酬：一些国际经验及对加拿大的思考

Pay-for-performance in publicly financed healthcare: some international experience and considerations for Canada.

作者信息

Pink George H, Brown Adalsteinn D, Studer Melanie L, Reiter Kristin L, Leatt Peggy

机构信息

Department of Health Policy and Administration, University of North Carolina at Chapel Hill, USA.

出版信息

Healthc Pap. 2006;6(4):8-26. doi: 10.12927/hcpap.2006.18260.

DOI:10.12927/hcpap.2006.18260

PMID:16825853

Abstract

Recent reports in the United States and Canada provide evidence that healthcare systems routinely fail to deliver safe and high-quality healthcare services. Governments and other healthcare payers have begun to experiment with pay-for-performance programs that offer healthcare providers and organizations financial incentives for quality. The purpose of this paper is (1) to provide an overview of the design of major pay-for-performance programs in the United States, the United Kingdom, and Australia, with specific focus on government-sponsored programs, and (2) to articulate some considerations for potential implementation of pay-for-performance in Canada.

摘要

美国和加拿大最近的报告表明，医疗保健系统常常无法提供安全且高质量的医疗服务。政府和其他医疗保健支付方已开始试行绩效薪酬计划，该计划为医疗保健提供者和机构提供质量方面的经济激励。本文的目的是：（1）概述美国、英国和澳大利亚主要绩效薪酬计划的设计，特别关注政府资助的计划；（2）阐明在加拿大潜在实施绩效薪酬时的一些考虑因素。