Farley Heather, Enguidanos Enrique R, Coletti Christian M, Honigman Leah, Mazzeo Anthony, Pinson Thomas B, Reed Kevin, Wiler Jennifer L
Department of Emergency Medicine, Christiana Care Health System, Newark, DE.
Department of Emergency Medicine, Providence Regional Medical Center, Everett, WA.
Ann Emerg Med. 2014 Oct;64(4):351-7. doi: 10.1016/j.annemergmed.2014.02.021. Epub 2014 Mar 20.
With passage of the Patient Protection and Affordable Care Act of 2010, payment incentives were created to improve the "value" of health care delivery. Because physicians and physician practices aim to deliver care that is both clinically effective and patient centered, it is important to understand the association between the patient experience and quality health outcomes. Surveys have become a tool with which to quantify the consumer experience. In addition, results of these surveys are playing an increasingly important role in determining hospital payment. Given that the patient experience is being used as a surrogate marker for quality and value of health care delivery, we will review the patient experience-related pay-for-performance programs and effect on emergency medicine, discuss the literature describing the association between quality and the patient-reported experience, and discuss future opportunities for emergency medicine.
随着2010年《患者保护与平价医疗法案》的通过，出台了支付激励措施以提高医疗服务的“价值”。由于医生及医生执业机构旨在提供临床有效且以患者为中心的医疗服务，因此了解患者体验与优质健康结局之间的关联很重要。调查已成为量化消费者体验的一种工具。此外，这些调查结果在确定医院支付方面正发挥着越来越重要的作用。鉴于患者体验正被用作医疗服务质量和价值的替代指标，我们将回顾与患者体验相关的按绩效付费计划及其对急诊医学的影响，讨论描述质量与患者报告体验之间关联的文献，并探讨急诊医学未来的机会。
