Bertko John, Effros Rachel
Rand Health Q. 2011 Sep 1;1(3):15. eCollection 2011 Fall.
This article explores how increased use of bundled payment approaches would affect health system performance along seven dimensions. Bundled payment approaches have the potential to reduce spending, consumer financial risk, and waste. Evidence is mixed regarding how these approaches would affect health. There is no good evidence about the effects of bundled payments on reliability of care or patient experience. Bundled payment approaches are not applicable to coverage or health system capacity. Implementing bundled payment approaches would require fundamental changes in the way that health care providers bill and are paid for services.
本文探讨了捆绑支付方式使用的增加将如何在七个维度上影响卫生系统的绩效。捆绑支付方式有可能减少支出、消费者财务风险和浪费。关于这些方式如何影响健康，证据好坏参半。关于捆绑支付对护理可靠性或患者体验的影响，没有充分的证据。捆绑支付方式不适用于保险范围或卫生系统能力。实施捆绑支付方式将需要医疗保健提供者计费和获得服务报酬方式的根本性改变。
