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诊断成像中的绩效付费:当前挑战与未来前景

Paying for performance in diagnostic imaging: current challenges and future prospects.

作者信息

Seidel Rebecca L, Nash David B

机构信息

Jefferson Medical College, Department of Health Policy, Philadelphia, Pennsylvania 19107, USA.

出版信息

J Am Coll Radiol. 2004 Dec;1(12):952-6. doi: 10.1016/j.jacr.2004.07.001.

DOI:10.1016/j.jacr.2004.07.001
PMID:17411737
Abstract

As concerns regarding medical errors and patient safety continue to escalate, policy makers and purchasers of care are developing novel methods to improve health care quality. One strategy for encouraging quality improvement uses financial incentives to reward physicians and hospitals for meeting or exceeding benchmarks of quality. This model, known as "paying for performance," is currently being implemented in a number of health care markets. Although most of these programs focus on primary care physicians and hospital care, it is only a matter of time until pay-for-performance incentives will be designed for diagnostic imaging groups. This article describes the pay-for-performance model and discusses its implications for the field of radiology.

摘要

随着对医疗差错和患者安全的关注持续升级,政策制定者和医疗服务购买者正在开发新方法以提高医疗质量。鼓励质量改进的一种策略是利用经济激励措施,对达到或超过质量基准的医生和医院给予奖励。这种被称为“按绩效付费”的模式目前正在多个医疗市场实施。尽管这些项目大多聚焦于初级保健医生和医院医疗服务,但为诊断成像团队设计按绩效付费激励措施只是时间问题。本文介绍了按绩效付费模式,并讨论了其对放射学领域的影响。

相似文献

1
Paying for performance in diagnostic imaging: current challenges and future prospects.诊断成像中的绩效付费:当前挑战与未来前景
J Am Coll Radiol. 2004 Dec;1(12):952-6. doi: 10.1016/j.jacr.2004.07.001.
2
Who gets paid with "pay-for-performance"?谁能获得“绩效薪酬”?
J Am Coll Radiol. 2004 Dec;1(12):891-2. doi: 10.1016/j.jacr.2004.08.025.
3
Pay for performance: pay more or pay less?按绩效付费:多付还是少付?
J Am Coll Radiol. 2005 Sep;2(9):777-81. doi: 10.1016/j.jacr.2005.02.020.
4
Pay for performance and the revolution in American medical culture.按绩效付费与美国医学文化的变革。
J Am Coll Radiol. 2008 Mar;5(3):168-73. doi: 10.1016/j.jacr.2007.09.016.
5
Pay-for-performance options in health care.医疗保健中的绩效薪酬方案。
Healthc Financ Manage. 2006 Dec;60(12):122-5.
6
The response of physician groups to P4P incentives.医生群体对按绩效付费激励措施的反应。
Am J Manag Care. 2007 May;13(5):249-55.
7
Pay for performance and the hospital quality initiative.按绩效付费与医院质量倡议。
Del Med J. 2005 Aug;77(8):289-96.
8
Pay for performance and medical education: strategies for preparing physicians of the future.按绩效付费与医学教育:培养未来医生的策略
Qual Manag Health Care. 2008 Apr-Jun;17(2):94-101. doi: 10.1097/01.QMH.0000316987.63920.fc.
9
Pay-for-performance: whether fad or foundation, doctors must be involved now.绩效薪酬:无论是一时风尚还是根本举措,医生现在都必须参与进来。
Mich Med. 2005 Nov-Dec;104(6):12-6.
10
Physicians respond to pay-for-performance incentives: larger incentives yield greater participation.医生会对按绩效付费的激励措施做出反应:更大的激励会带来更高的参与度。
Am J Manag Care. 2009 May;15(5):305-10.

引用本文的文献

1
The effectiveness of service delivery initiatives at improving patients' waiting times in clinical radiology departments: a systematic review.临床放射科服务提供举措在缩短患者等待时间方面的有效性:一项系统评价
J Digit Imaging. 2014 Dec;27(6):751-78. doi: 10.1007/s10278-014-9706-z.
2
Pay for performance (P4P) in medical imaging: the time has (finally) come.医学影像领域的按绩效付费(P4P):(终于)时机已至。
J Digit Imaging. 2006 Dec;19(4):289-94. doi: 10.1007/s10278-006-1053-2.