开创质量付费模式：来自奖励结果示范项目的经验教训。
Pioneering pay-for-quality: lessons from the rewarding results demonstrations.
作者信息
Young Gary J, Burgess James F, White Bert
机构信息
Department of Health Policy and Management, Boston University School of Public Health, Boston, MA 02118-2526, USA.
出版信息
Health Care Financ Rev. 2007 Fall;29(1):59-70.
Abstract
This article reports six overarching lessons learned from seven pioneering initiatives in the pay-for-quality (P4Q) movement. These lessons relate to the specific design and implementation challenges sponsors of P4Q programs can expect. The lessons are: (1) P4Q can prioritize providers' quality goals, (2) provider engagement is difficult, (3) P4Q escalates concerns for data accuracy and validity, (4) P4Q increases the need for population-based information technology and infrastructure, (5) tradeoffs exist between stimulating investment in quality infrastructure and diluting the power of incentives for individuals, and (6) significant challenges exist in documenting a positive return on investment.
摘要
本文报告了从按质量付费（P4Q）运动中的七项开创性举措中汲取的六大总体经验教训。这些经验教训涉及P4Q项目赞助商可能面临的具体设计和实施挑战。经验教训包括：（1）P4Q可优先考虑提供者的质量目标；（2）让提供者参与其中困难重重；（3）P4Q加剧了对数据准确性和有效性的担忧；（4）P4Q增加了对基于人群的信息技术和基础设施的需求；（5）在刺激对质量基础设施的投资与削弱个人激励措施的效力之间存在权衡；（6）在记录投资的正回报方面存在重大挑战。
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Health Aff (Millwood). 2007 Jul-Aug;26(4):w516-27. doi: 10.1377/hlthaff.26.4.w516. Epub 2007 Jun 26.
3
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Med Care Res Rev. 2007 Jun;64(3):331-43. doi: 10.1177/1077558707300091.
4
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The early experience of a hospital-based pay-for-performance program.一项基于医院的绩效薪酬计划的早期经验。
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J Gen Intern Med. 2007 Jun;22(6):872-6. doi: 10.1007/s11606-007-0185-5. Epub 2007 Apr 19.
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