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分析与评论。医师薪酬改革:应遵循的原则。

Analysis & commentary. Physician payment reform: principles that should shape it.

机构信息

ABIM Foundation, Philadelphia, PA, USA.

出版信息

Health Aff (Millwood). 2010 May;29(5):948-52. doi: 10.1377/hlthaff.2010.0219.

DOI:10.1377/hlthaff.2010.0219
PMID:20439885
Abstract

Policy makers and payers understand that physician payment reform will be central to driving improvements in the efficiency and quality of health care. We describe principles to inform physician payment reform developed by a multistakeholder group under the auspices of the ABIM Foundation. Among other ideas, the principles emphasize team-oriented practice, evidence-based care, continuous quality improvement, and a focus on total costs and outcomes to achieve greater value in our health care system. The goal is to inform physician payment redesign to produce a health care system that reflects contemporary societal values more accurately than do those inherent in existing payment methodologies, such as fee-for-service.

摘要

政策制定者和支付方都明白,医师薪酬改革对于提高医疗保健的效率和质量至关重要。我们描述了在 ABIM 基金会的支持下,一个由多方利益相关者组成的团体制定的医师薪酬改革原则。这些原则除其他想法外,还强调以团队为基础的实践、基于证据的护理、持续质量改进,以及关注总成本和结果,以实现我们的医疗保健系统更大的价值。目标是为医师薪酬重新设计提供信息,以建立一个比现有支付方法(如按服务收费)更能准确反映当代社会价值观的医疗保健系统。

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