拓展按绩效付费议程，第1部分：医疗保险如何改善患者决策并减少不必要的医疗服务。
Extending the P4P agenda, part 1: how Medicare can improve patient decision making and reduce unnecessary care.
作者信息
Wennberg John E, O'Connor Annette M, Collins E Dale, Weinstein James N
机构信息
Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School in Hanover, New Hampshire, USA.
出版信息
Health Aff (Millwood). 2007 Nov-Dec;26(6):1564-74. doi: 10.1377/hlthaff.26.6.1564.
Abstract
The decision to undergo many discretionary medical treatments should be based on informed patient choice. Shared decision making is an effective strategy for achieving this goal. The Centers for Medicare and Medicaid Services (CMS) should extend its pay-for-performance (P4P) agenda to assure that all Americans have access to a certified shared decision-making process. This paper outlines a strategy to achieve informed patient choice as the standard of practice for preference-sensitive care.
摘要
接受许多选择性医疗治疗的决定应基于患者的知情选择。共同决策是实现这一目标的有效策略。医疗保险和医疗补助服务中心（CMS）应扩展其按绩效付费（P4P）议程，以确保所有美国人都能获得经过认证的共同决策流程。本文概述了一种策略，以实现患者知情选择，作为偏好敏感型医疗的实践标准。
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