Counte Michael A, Howard Steven W, Chang Larry, Aaronson William
Department of Health Management and Policy, Saint Louis University, St. Louis, MO, United States.
Taipei Beitou Hospital, New Taipei, Taiwan.
Front Public Health. 2019 Jan 18;6:379. doi: 10.3389/fpubh.2018.00379. eCollection 2018.
Global advances in health policy reform, health system improvement and health management education and practice need to be closely aligned to successfully change national health policies and improve the performance of health care delivery organizations. This paper describes the globally acknowledged need for incentive-based organizational performance and relevant implications for health care management education (HCME) and practice. It also outlines the major rationale underlying Value-Based Payment (VBP) or Pay for Performance (P4P) health policy initiatives and their basic elements. Clearly, the major global health policy shift that is underway will likely ultimately have major impacts on the strategic and operational management and performance of health care delivery organizations. Thus, practical specific suggestions are made regarding changes that need to be introduced and strengthened in contemporary health care management education and development programs to help organizational managers in the future.
全球在卫生政策改革、卫生系统改善以及卫生管理教育与实践方面取得的进展，需要紧密结合，才能成功改变国家卫生政策并提高医疗服务提供组织的绩效。本文阐述了全球公认的基于激励的组织绩效需求以及对卫生保健管理教育（HCME）和实践的相关影响。它还概述了基于价值的支付（VBP）或按绩效付费（P4P）卫生政策举措的主要理论依据及其基本要素。显然，正在发生的重大全球卫生政策转变最终可能会对医疗服务提供组织的战略和运营管理及绩效产生重大影响。因此，针对当代卫生保健管理教育与发展项目中需要引入和加强的变革提出了切实具体的建议，以帮助未来的组织管理者。
