相关实验视频
对中国医疗保健提供者的激励措施的调整
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
概括
中国中国中国中国.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 医学伦理学医学伦理学
背景情况:
- 中国的服务费模式导致成本上升,质量差以及道德问题.
- 提供者激励与医疗保健质量和效率目标不一致.
研究的目的:
- 审查中国的实验性改革,以调整提供者激励措施.
- 评估这些改革对医疗保健质量,效率和成本的影响.
主要方法:
- 审查国际经验和中国的适应.
- 对初级保健和医院服务的新激励结构的分析.
- 对初步节约成本证据的审查.
主要成果:
- 初步数据表明,改革的支付系统可能节省成本.
- 关于质量和健康结果的证据在很大程度上尚未评估.
- 改革旨在将重点转向预防和初级保健.
结论:
- 提供者支付改革是潜在有效的成本控制短期战略.
- 长期的成功需要重新建立医学伦理,并将利动机分开.
- 需要进一步的科学评估来评估质量和结果的影响.
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