雇主使用基于价值的采购策略
Meredith B Rosenthal1, Bruce E Landon, Sharon-Lise T Normand
1Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts 02115, USA. mrosenth@hsph.harvard.edu
JAMA
|November 22, 2007
概括
雇主并不广泛使用基于价值的采购策略. 很少有公司检查或使用健康计划和医生质量数据来奖励绩效或影响员工的选择.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 提高医疗保健的质量 改善医疗保健的质量
背景情况:
- 基于价值的采购 (VBP) 理论上是为了推动医疗保健质量改善.
- 虽然大型雇主参与VBP,但其在雇主赞助的健康福利中被采用是不清楚的.
研究的目的:
- 系统地描述和分析医疗保健采购者使用基于价值的采购.
- 评估雇主通过采购策略提高护理质量的努力.
主要方法:
- 我们通过电话采访了来自41个不同市场的大型美国雇主的609名高管.
- 该研究调查了雇主如何使用质量数据来奖励绩效,并影响员工的选择.
- 数据收集发生在2005年7月至2006年3月期间,响应率为64%.
主要成果:
- 65%的雇主检查了健康计划质量数据,但只有17%的雇主将其用于绩效奖励.
- 16%的雇主检查了医生质量数据,只有2%的人将其用于绩效奖励.
- 雇主使用质量数据来影响员工的选择是有限的,为23%的健康计划和8%的提供者.
结论:
- 平均而言,雇主并没有像预期的那样单独实施VBP激励和计划.
- 在雇主购买健康福利方面广泛采用VBP原则尚未实现.
- 质量数据的检查与其在雇主基于绩效的采购中的应用之间存在很大的差距.
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