Ro K K, Auster R
Health Serv Res. 1969 Fall;4(3):177-87.
A method of incentive reimbursement for health care institutions is described that is designed to stimulate the providers' efficiency. The two main features are: (1) reimbursement based on a weighted average of actual cost and mean cost plus or minus an appropriate number of standard deviations; (2) output defined as episodes of illness given adequate treatment instead of days of hospitalization. It is suggested that despite the operational difficulties involved in a method of payment based on an output approach, the flexibility incorporated into the determination of reimbursement by use of the properties of a normal frequency distribution would make the system workable.
描述了一种针对医疗机构的激励性报销方法，该方法旨在提高医疗服务提供者的效率。两个主要特点是：（1）基于实际成本与平均成本加权平均值加上或减去适当数量标准差的报销方式；（2）产出定义为接受充分治疗的疾病发作次数而非住院天数。有人认为，尽管基于产出方式的支付方法存在操作困难，但通过利用正态频率分布的特性来确定报销所纳入的灵活性将使该系统可行。
