関連する実験動画
中国における医療提供者に対するインセンティブの調整
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
まとめ
中国 中国 中国 中国 中国.
科学分野:
- 健康経済学とは
- 保健医療政策について
- 医療倫理 医療倫理について
背景:
- 中国のサービス代償モデルは,コストの上昇,質の低下,倫理的な問題につながっています.
- 医療提供者に対するインセンティブは,医療の質と効率の目標と一致していない.
研究 の 目的:
- 提供者インセンティブを調整するための中国の実験的改革の見直しをすること.
- これらの改革が医療の質,効率,コストに与える影響を評価する.
主な方法:
- 国際的な経験と中国の適応のレビュー.
- プライマリケアと病院サービスのための新しいインセンティブ構造の分析.
- 費用削減に関する事前証拠の検討.
主要な成果:
- 暫定的なデータは,改革された決済システムによる潜在的なコスト削減を示唆しています.
- 品質と健康への影響に関する証拠は,ほとんど評価されていないままです.
- 改革は,予防とプライマリケアに重点を置くことを目指しています.
結論:
- プロバイダーの支払い改革は,コストコントロールのための潜在的に効果的な短期戦略です.
- 長期的な成功には,医療倫理の再確立と利益動機の分離が必要です.
- 品質と結果への影響を評価するために,さらなる科学的評価が必要である.
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