如何进一步发展德国医疗保健系统的质量竞争? 德尔菲专家研究的结果
Daniel Negele1, Michael Lauerer2, Eckhard Nagel2
1Chair of Public Finance, University of Bayreuth, VWL III, Bayreuth 95447, Germany; Institute for Medical Management and Health Sciences, University of Bayreuth, Bayreuth 95444, Germany.
Health policy (Amsterdam, Netherlands)
|December 1, 2023
概括
发展医疗保健中的质量竞争需要协调,基于证据的战略. 专家建议将自上而下的和自下而上的方法结合起来,并通过立法支持,以提高质量测量和公开报告.
科学领域:
- 医疗保健管理的管理
- 医疗保健服务研究 医疗服务研究
- 卫生政策 卫生政策
背景情况:
- 国际医疗保健系统利用质量竞争,包括测量,报告,合同和绩效支付,以改善护理.
- 德国医疗保健系统在目前的质量竞争框架中面临局限性,需要基于证据的提升建议.
- 需要实用,数据驱动的建议来发展医疗保健中的质量竞争.
研究的目的:
- 为进一步发展德国医疗保健系统的质量竞争,提出基于证据的建议.
- 通过竞争确定有效的工具和方法,以提高医疗保健质量.
- 促进利益相关者在质量竞争的未来方向上达成共识.
主要方法:
- 进行了一项涉及国家分析和国际比较 (瑞士,荷兰,美国) 的预研究.
- 为了达成共识的目的,设计了一项德尔菲研究,该研究涉及德国医疗保健系统中关键利益相关者群体的专家.
- 用有目的的抽样来选择代表德国医疗保健领域不同观点的专家.
主要成果:
- 专家们确定了通过进一步发展质量竞争来提高质量的巨大潜力.
- 质量测量和公共报告被认为是提高医疗保健质量的关键授权工具.
- 达成共识,需要在立法改革的同时,协调,逐步和科学支持地发展优质竞争.
结论:
- 基于经验的建议强调协调方法,整合自上而下的和自下而上的优质竞争战略.
- 已经制定了一份蓝图提案,以指导实际实施和对质量竞争的进一步考虑.
- 这些发现强调了利益相关者合作和立法支持在推进医疗保健质量倡议方面的重要性.
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