医生组织在管理护理下混合支付方法
1University of California School of Public Health, Berkeley 94720-7360, USA. jamie@socrates.berkeley.edu
JAMA
|October 12, 1999
概括
独立实践协会 (IPA) 正在将服务费和资本支付模式混合在一起. 这些混合方法旨在平衡医生生产力和临床合作,以改善医疗保健服务.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 医生补偿模型 医生补偿模型
背景情况:
- 独立实践协会 (IPA) 正在探索创新的医生报销策略.
- 经济理论表明,混合支付模式的表现优于单层系统.
- 平衡个体医生的生产力与临床合作是关键目标.
研究的目的:
- 识别和分析IPA使用的新兴医生支付方法.
- 专注于IPA与管理护理组织签订合同.
- 检查初级保健和专科医生的支付结构.
主要方法:
- 在旧金山大都会地区对7个大型IPA的案例研究分析.
- 在1998年夏季和秋季收集的数据.
- 对初级保健医生,专家和专科部门的支付方法进行了审查.
主要成果:
- 所有研究的IPA都使用了混合支付方法,结合了服务费和资本化的支付方式.
- 初级保健支付包括根据患者因素调整的资本,并补充了特定服务和程序的服务费.
- 专业部门获得了资本化,内部预算分配给个人专家,使用各种混合机制.
结论:
- 通过结合服务费和资本元素,IPA正在创新.
- 这些混合支付方法正在应用于初级保健和专科医生.
- 新兴的模型反映了在管理护理中医生补偿的战略方法.
相关概念视频
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