对治疗心血管疾病的临床医生进行基于价值的支付:美国心脏协会的政策声明
Circulation
|July 10, 2023
概括
基于价值的支付模式旨在提高医疗保健质量和降低成本, 最佳实践强调质量,公平,灵活的资金和临床医生积极性,以成功实施基于价值的支付.
科学领域:
- 卫生政策
- 医疗经济学
- 提高质量
背景情况:
- 医生付款正在从服务费转变为以价值为基础的付款.
- 目前的基于价值的支付模式基本上没有达到提高质量和降低成本的目标.
研究的目的:
- 审查基于价值的支付的现状.
- 为未来的基于价值的支付设计和实施提供最佳实践.
主要方法:
- 政策声明审查现有的基于价值的支付计划.
- 分析主要设计特征:患者群体,质量/成本测量,风险调整.
- 审查资本,支付调整和计划实施/评估.
主要成果:
- 基于价值的支付需要仔细平衡成本降低和质量改善的激励措施,重点关注质量.
- 公平必须是设计和评估的核心焦点.
- 灵活的资金模式和提高临床医生的动力至关重要.
结论:
- 成功的基于价值的支付模式需要优先考虑质量,整合公平,采用灵活的支付结构,并利用临床医生的内在动机.
- 这些原则对于指导未来临床医生基于价值的支付模式的发展至关重要.
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