增加混合薪酬计划的资本化:对服务提供和护理过程质量的影响
Christian Volmar Skovsgaard1, Troels Kristensen1, Ryan Pulleyblank1,2
1Department of Public Health, Danish Centre for Health Economics, University of Southern Denmark, Odense C, Denmark.
Health economics
|July 18, 2023
概括
在一般实践支付模式中增加的资本化减少了2型糖尿病患者的服务. 这种转变影响了资本化和非资本化护理,可能会影响护理质量.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 一般做法 报销模式
- 医疗保健经济学 医疗保健经济学
背景情况:
- 在全科医生中,混合薪酬计划是常见的.
- 改变服务费 (FFS) 和资本化组合对服务提供的影响尚不清楚.
研究的目的:
- 评估一项改革,该改革将FFS/capitation组合从80/20转变为2型糖尿病患者的20/80.
- 评估对一般实践中的服务提供和护理质量的影响.
主要方法:
- 应用差异差异分析来评估改革.
- 该研究的重点是2型糖尿病患者及其全科医生.
主要成果:
- 观察到,资本化和非资本化服务的提供大幅减少.
- 提供指南推的工艺质量服务也下降了.
- 这些影响在患有并发症的患者和许多糖尿病患者的高收入一般诊所中更为明显.
结论:
- 在混合薪酬计划中增加资本的比例可能会导致2型糖尿病患者的服务提供减少.
- 这种转变带有负面质量影响的风险,特别是在脆弱的患者群体和特定的实践类型.
相关概念视频
Methods of Documentation VI: Case Management Model
598
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
For example, a patient with a chronic...
598
Methods Of Healthcare Delivery System
3.3K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.3K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Issues And Trends In Healthcare Delivery System
5.7K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.7K
Health Information Technology and Healthcare Information System
875
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
875
Documentation in Long-Term and Home Healthcare Setting
931
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
931


