Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts, USA.
Health Aff (Millwood). 2009 Jul-Aug;28(4):w678-87. doi: 10.1377/hlthaff.28.4.w678. Epub 2009 Jun 16.
How health care providers get paid has implications for the delivery of care and cost control; the topic is especially important during an economic downturn with persistent growth in health spending. Adding "warranties" to care is an innovation that transfers risk to providers, because payment includes allowances for defects. How do such warranties affect patient care and bottom lines? We examine a proposed payment model to illustrate the role of warranties in health care and their potential impact on providers' behavior and profitability. We conclude that warranties could motivate providers to improve quality and could increase their profit margins.
医疗服务提供者的薪酬方式会影响医疗服务的提供和成本控制;在经济下滑、医疗支出持续增长的情况下,这个问题尤为重要。在医疗服务中加入“保证”是一种将风险转移给提供者的创新,因为支付款项中包含了缺陷的津贴。这种保证会如何影响患者的护理和底线呢?我们研究了一种拟议的支付模式,以说明保证在医疗保健中的作用及其对提供者行为和盈利能力的潜在影响。我们的结论是,保证可以激励提供者提高质量,并增加他们的利润率。