Schinnar A P, Rothbard A B
Wharton School University of Pennsylvania, Philadelphia 19104.
Hosp Community Psychiatry. 1989 Jul;40(7):681-3. doi: 10.1176/ps.40.7.681.
Public policy should be guided by sound data emerging from quality research. A shift in the financing of medical and psychiatric care toward capitation models represents a major change, and the Philadelphia capitation experiment described in the April column is one pioneering effort. The answers to the following evaluation questions about the Philadelphia experiment will help decision makers across the country as they contemplate a policy shift from retrospective to prospective payment.
公共政策应以高质量研究产生的可靠数据为指导。医疗和精神科护理的筹资模式向按人头付费模式转变是一项重大变革,4月刊专栏中描述的费城按人头付费实验就是一项开创性努力。关于费城实验的以下评估问题的答案,将有助于全国各地的决策者思考从追溯支付向预期支付的政策转变。