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Cuidado a varios niveles. Una iniciativa de la Administración de Veteranos en el control de los costos de la atención
JAMA
|September 21, 1979
Resumen
La Administración de Veteranos está probando un nuevo sistema de atención multinivel para mejorar la rendición de cuentas y la rentabilidad de su sistema de salud. Esta iniciativa tiene un impacto tanto en VA como en los sectores privados de atención médica.
Área de la Ciencia:
- Gestión de la Gestión de la Atención Médica.
- Servicios de salud Servicios de salud Investigación Investigación.
- Política de salud pública Política de salud pública.
Sus antecedentes:
- El sistema de salud de la Administración de Veteranos (VA) se enfrenta a presiones de rendición de cuentas y rentabilidad.
- El VA opera el mayor sistema de salud civil federal con un presupuesto anual de más de $ 5 mil millones.
Objetivo del estudio:
- Evaluar un nuevo sistema de atención multinivel para la asignación de recursos y la gestión financiera dentro del VA.
- Evaluar las implicaciones de este nuevo sistema para el VA y el sector privado de la salud.
Principales métodos:
- El VA está probando un nuevo sistema de asignación de recursos y gestión financiera.
- La evaluación se está llevando a cabo en diez de los 172 centros médicos del VA.
Principales resultados:
- Actualmente se está evaluando la implementación y los resultados del sistema de atención multinivel.
- Se están monitoreando los indicadores clave de rendimiento relacionados con la rendición de cuentas y la rentabilidad.
Conclusiones:
- El sistema de atención multinivel representa una iniciativa significativa para la prestación de atención médica de los VA.
- Los hallazgos de esta evaluación servirán de base para futuras estrategias de gestión de recursos dentro de la VA y potencialmente del sector privado.
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