医生描述了绩效报酬对医疗决策的影响
Beth Jeanette Graefe1, JoAnn Foley Markette1
1Grand Canyon University, 3300 W Camelback Rd., Phoenix, AZ 85017, United States.
Health policy OPEN
|June 29, 2023
概括
医生 医生 医生
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗决策的制定 医疗决策的制定
- 医疗保健管理的管理
背景情况:
- 绩效支付 (P4P) 计划旨在激励提供优质医疗服务.
- 了解医生对P4P的看法对于计划的有效性至关重要.
- 医生决策受到态度,控制和社会规范的影响.
研究的目的:
- 探讨支付绩效 (P4P) 计划如何影响医生的医疗决策.
- 检查对程序合规,感知行为控制和主观规范的态度的作用.
主要方法:
- 定性描述性研究方法.
- 与积极执业的美国医生进行半结构面试和焦点小组.
- 从具有P4P经验的医生收集的数据.
主要成果:
- 医生对P4P合规的态度是由对患者护理,计划设计,动机,绩效指标和补偿的信念所塑造的.
- 医生参与P4P计划设计和评估会影响他们的行为.
- 医生优先考虑优质的患者护理而不是经济激励,同行和管理人员是关键影响者.
结论:
- 医生在P4P计划中的行为受到他们参与计划开发和评估的重要影响.
- 对高质量的患者护理的内在动机超过了对医生的外部财务激励.
- 同行影响和行政意见是医生遵守P4P计划的最重要的驱动因素.
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