医疗费用补偿不等于医院资源的分配:关于荷兰医院缺失环节的探索性案例研究
L V L van Leeuwen1, R Mesman2, H J J M Berden2
1Scientific Center for Quality of Healthcare, Radboud University Medical Center, P.O. Box 9101, 6500, HB, Nijmegen, the Netherlands. Lisanne.vl.vanLeeuwen@radboudumc.nl.
BMC health services research
|September 19, 2023
概括
医院预算分配和报销模式显示互动有限,可能阻碍财务目标. 进一步的研究可以指导为负担得起和可访问的医疗保健的战略.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医院财务管理 医院财务管理
- 医疗保健经济学 医疗保健经济学
背景情况:
- 医院护理融资研究往往忽视了内部融资机制.
- 内部预算分配 (分配模型) 和外部退款模型可能会相互作用.
- 了解这种相互作用对于优化医院财务产出至关重要.
研究的目的:
- 调查荷兰医院的报销和分配模式之间的相互作用.
- 分析这些模型如何影响医院护理的财务产出.
主要方法:
- 在49家荷兰医院的财务高级管理层进行了在线调查.
- 38个完成的调查 (78%的响应率) 提供了医院财务实践的数据.
主要成果:
- 占主导地位的还款模式是价格*数量与调整后的价格.
- 增量预算是主要的内部分配方法 (75-80%).
- 报销和分配模式之间发现有限的相互作用,合同变化部分纳入预算.
结论:
- 医院报销和分配模式之间缺乏一致性可能会限制所需的财政激励措施.
- 这一发现适用于各种报销和分配模式.
- 对这些相互作用的进一步研究可以为可负担和可访问的医院护理提供基于证据的策略.
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