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迈向高价值医疗保健:将医疗服务体系改革纳入2020年政策提案

Moving Toward High-Value Health Care: Integrating Delivery System Reform into 2020 Policy Proposals.

作者信息

Seshamani Meena, Sen Aditi P

机构信息

Department of Otolaryngology- Head and Neck Surgery, Georgetown University School of Medicine.

Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health.

出版信息

Issue Brief (Commonw Fund). 2018 Nov 1;2018:1-11.

Abstract

ISSUE

Delivery system reform has been a focus of regulatory and legislative policy to date, but it is unclear how policymakers will integrate reforms into their plans for 2020 and beyond.

GOAL

To present and evaluate options for integrating delivery system reform into upcoming legislative proposals.

METHODS

Literature review.

FINDINGS AND CONCLUSIONS

Policymakers should integrate delivery system reform into their 2020 plans to continue driving value in the health care system. Several options exist for promoting delivery system reform either through a state-based block grant approach or federal public plan approach. We identify three main principles that are critical for success of reform efforts: information sharing and infrastructure, flexibility to innovate, and alignment and stability of efforts.

摘要

问题

迄今为止,医疗服务体系改革一直是监管和立法政策的重点,但政策制定者如何将改革纳入其2020年及以后的计划尚不清楚。

目标

提出并评估将医疗服务体系改革纳入即将出台的立法提案的选项。

方法

文献综述。

研究结果与结论

政策制定者应将医疗服务体系改革纳入其2020年计划,以继续推动医疗保健系统的价值提升。通过基于州的整笔拨款方式或联邦公共计划方式来促进医疗服务体系改革有几种选项。我们确定了改革努力取得成功的三个关键主要原则:信息共享与基础设施、创新灵活性以及努力的一致性与稳定性。

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