家庭医生工作表现更佳就需要获得更多报酬吗？初级医疗中的经济激励措施。
Do family physicians need more payment for working better? Financial incentives in primary care.
作者信息
Kolozsvári László Róbert, Orozco-Beltran Domingo, Rurik Imre
机构信息
Assistant professor, Department of Family and Occupational Medicine, University of Debrecen, Hungary.
Associate professor, Cathedra of Family Medicine, University Miguel Hernandez, Alicante, Spain.
出版信息
Aten Primaria. 2014 May;46(5):261-6. doi: 10.1016/j.aprim.2013.12.014. Epub 2014 Apr 8.
INTRODUCTION
Financial incentives are widely used in health services to improve the quality of care or to reach some specific targets. Pay for performance systems were also introduced in the primary health care systems of many European countries.
OBJECTIVE
Our study aims to describe and compare recent existing primary care indicators and related financing in European countries.
METHODS
Literature search was performed and questionnaires were sent to primary care experts of different countries within the European General Practice Research Network.
RESULTS
Ten countries have published primary care quality indicators (QI) associated with financial incentives. The number of QI varies from 1 to 134 and can modify the finances of physicians with up to 25% of their total income.
CONCLUSIONS
The implementations of these schemes should be critically evaluated with continuous monitoring at national or regional level; comparison is required between targets and their achievements, health gains and use of resources as well.
引言
经济激励措施在卫生服务中被广泛用于提高医疗质量或实现某些特定目标。许多欧洲国家的初级卫生保健系统也引入了按绩效付费制度。
目的
我们的研究旨在描述和比较欧洲国家近期现有的初级保健指标及相关融资情况。
方法
进行文献检索，并向欧洲全科医学研究网络内不同国家的初级保健专家发送问卷。
结果
十个国家公布了与经济激励措施相关的初级保健质量指标（QI）。QI的数量从1到134不等，最多可使医生收入的25%受到影响。
结论
应在国家或地区层面持续监测，对这些方案的实施情况进行严格评估；还需要对目标及其达成情况、健康收益和资源利用进行比较。
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