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Reajuste de los incentivos para los proveedores de atención médica en China
Winnie Chi-Man Yip1, William Hsiao, Qingyue Meng
1Department of Public Health, Oxford University, Oxford, UK. winnie.yip@dphpc.ox.ac.uk
Lancet (London, England)
|March 30, 2010
Resumen
China China China China también.
Área de la Ciencia:
- Economía de la salud economía de la salud.
- La política de salud de la política de salud.
- Ética médica La ética médica es la ética médica.
Sus antecedentes:
- El modelo de pago por servicio de China ha llevado a costos crecientes, mala calidad y problemas éticos.
- Los incentivos de los proveedores están desalineados con los objetivos de calidad y eficiencia de la atención médica.
Objetivo del estudio:
- Revisar las reformas experimentales de China para realinear los incentivos de los proveedores.
- Evaluar el impacto de estas reformas en la calidad, la eficiencia y los costos de la atención médica.
Principales métodos:
- Revisión de las experiencias internacionales y la adaptación en China.
- Análisis de nuevas estructuras de incentivos para la atención primaria y los servicios hospitalarios.
- Examen de las pruebas preliminares de ahorro de costes.
Principales resultados:
- Los datos preliminares sugieren ahorros de costos potenciales de los sistemas de pago reformados.
- La evidencia sobre la calidad y los resultados de salud sigue sin ser evaluada en gran medida.
- Las reformas tienen como objetivo cambiar el enfoque hacia la prevención y la atención primaria.
Conclusiones:
- La reforma de los pagos de los proveedores es una estrategia potencialmente efectiva a corto plazo para el control de costos.
- El éxito a largo plazo requiere el restablecimiento de la ética médica y la separación de los motivos de lucro.
- Se necesita una evaluación científica adicional para evaluar la calidad y los impactos de los resultados.
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