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医疗机构的按效付费。

Paying for performance in healthcare organisations.

机构信息

Warwick Business School, The University of Warwick, Coventry, UK.

出版信息

Int J Health Policy Manag. 2014 Jan 17;2(2):59-60. doi: 10.15171/ijhpm.2014.14. eCollection 2014 Feb.

DOI:10.15171/ijhpm.2014.14
PMID:24639977
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3952536/
Abstract

Aligning Financial Incentives (FIs) to health policy goals is becoming increasingly popular. In many cases, such initiatives have failed to deliver anticipated benefits. Attributing this to the actions of self-interested and resistant professionals is not an entirely helpful approach. It is important to avoid simplistic assumptions to build knowledge of how and why schemes are implemented in practice to inform future policy in this area.

摘要

将财务激励 (FIs) 与卫生政策目标相协调正变得越来越流行。在许多情况下,此类举措未能带来预期的收益。将其归因于自私自利和抵制的专业人员的行为并不是一种完全有帮助的方法。重要的是要避免简单化的假设,以建立对计划在实践中是如何以及为何实施的理解,从而为该领域的未来政策提供信息。

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本文引用的文献

1
Should pay-for-performance schemes be locally designed? Evidence from the Commissioning for Quality and Innovation (CQUIN) Framework.绩效付费计划应该在本地设计吗?来自质量与创新委托(CQUIN)框架的证据。
J Health Serv Res Policy. 2013 Oct;18(2 Suppl):38-49. doi: 10.1177/1355819613490148.
2
Competing and coexisting logics in the changing field of English general medical practice.在不断变化的英国全科医疗领域中竞争与共存的逻辑。
Soc Sci Med. 2013 Sep;93:47-54. doi: 10.1016/j.socscimed.2013.06.010. Epub 2013 Jun 18.
3
Reduced mortality with hospital pay for performance in England.英国的医院绩效薪酬降低了死亡率。
N Engl J Med. 2012 Nov 8;367(19):1821-8. doi: 10.1056/NEJMsa1114951.
4
The long-term effect of premier pay for performance on patient outcomes.主要绩效薪酬对患者结局的长期影响。
N Engl J Med. 2012 Apr 26;366(17):1606-15. doi: 10.1056/NEJMsa1112351. Epub 2012 Mar 28.
5
The impact of management on medical professionalism: a review.管理对医学职业精神的影响:综述。
Sociol Health Illn. 2012 May;34(4):626-44. doi: 10.1111/j.1467-9566.2011.01393.x. Epub 2011 Sep 19.
6
An overview of reviews evaluating the effectiveness of financial incentives in changing healthcare professional behaviours and patient outcomes.评估经济激励措施在改变医疗保健专业人员行为和患者结局方面有效性的综述概述。
Cochrane Database Syst Rev. 2011 Jul 6;2011(7):CD009255. doi: 10.1002/14651858.CD009255.
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Systematic review: Effects, design choices, and context of pay-for-performance in health care.系统评价:医疗保健中绩效付费的效果、设计选择和背景。
BMC Health Serv Res. 2010 Aug 23;10:247. doi: 10.1186/1472-6963-10-247.
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The impact of removing financial incentives from clinical quality indicators: longitudinal analysis of four Kaiser Permanente indicators.取消临床质量指标财务激励的影响:四项 Kaiser Permanente 指标的纵向分析。
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Rethinking collegiality: restratification in English general medical practice 2004-2008.重新思考同事关系:2004 - 2008年英国普通医疗实践中的重新分层
Soc Sci Med. 2009 Apr;68(7):1199-205. doi: 10.1016/j.socscimed.2009.01.042. Epub 2009 Feb 14.