心血管疾患 を 治療 する 臨床 医 の ため の 価値 ベースの 支払い: アメリカ 心臓 協会 の 政策 声明
Circulation
|July 10, 2023
まとめ
医療の質を向上させ 医療費を削減することを目指していますが 目標は達成されていません ベストプラクティスは 品質,公平性,柔軟な資金調達,臨床医のモチベーションを重視し, 価値ベースの支払いの成功を実現します.
科学分野:
- 健康政策
- 医療経済学
- 品質の向上
背景:
- 医療従事者の報酬は 料金対サービスから 価値に基づく報酬へと 移行しています
- 現在の価値ベースの支払いモデルは,品質の向上とコストの削減という目標を達成できませんでした.
研究 の 目的:
- 価値ベースの支払いの現状を見直す
- 将来の価値ベースの支払いの設計と実施のためのベストプラクティスを提供します.
主な方法:
- 既存の価値ベースの支払いプログラムを見直す政策声明
- 主要な設計特徴の分析:患者集団,品質/コストの測定,リスク調整
- 資本の検討,支払いの調整,プログラムの実施/評価
主要な成果:
- 価値ベースの支払いは,コスト削減と品質改善のインセンティブの注意深いバランスを要求し,品質に重点を置きます.
- デザインと評価において 公平性は中心の焦点でなければなりません
- 柔軟な資金調達モデルと 臨床医のモチベーションの活用が不可欠です
結論:
- 価値に基づく支払いモデルが成功するには 質を優先し 公平性を統合し 柔軟な支払い構造を採用し 臨床医の内在的な動機を活用する必要があります
- これらの原則は,将来の臨床医の価値ベースの支払いモデル開発の指針として不可欠です.
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