衡量英格兰的医疗保健支付人管理实践
Stephen J Dorgan1, Timothy Powell-Jackson2, Andrew Briggs1
1Department of Health Services Research & Policy, London School of Hygiene & Tropical Medicine, 15 - 17 Tavistock Place, London, WC1H 9SH, UK.
一个新的工具有效地衡量医疗保健付费者管理实践,揭示与监督相关的差异. 这使得管理层能够进行评估.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 管理科学 管理科学
- 卫生政策 卫生政策
背景情况:
- 有效的管理对于医疗保健系统来说至关重要,以满足人口需求,控制成本并提高质量.
- 证据将管理实践与患者结果联系起来是有限的,特别是对于医疗保健支付者来说.
- 缺乏经过验证的工具阻碍了对医疗保健付费者管理实践的评估.
研究的目的:
- 开发和验证一种用于评估医疗保健支付人的管理实践的新工具.
- 量化评估英格兰国家卫生服务 (NHS) 中所有医疗保健支付人的管理实践.
主要方法:
- 开发一种测量11种管理实践的新工具.
- 2010年将该工具应用于英格兰所有152个NHS医疗保健支付人.
- 使用已建立的分析方法,严格测试可接受性,可靠性和有效性.
主要成果:
- 该工具表现出强的表现,与现有的成绩单可比.
- 探索性因素分析确定了两种不同的潜在因素,这些因素是付款人管理实践的高度可靠性.
- 证据支持该工具的评估和评分有效性.
- 付款人管理实践的变化与监管监督水平有关.
结论:
- 医疗保健付费者管理实践可以使用开发的工具进行可靠的测量和评估.
- 这个工具可以帮助确定付款人管理如何影响卫生系统的表现.
- 这些发现表明,从有针对性的干预措施中估计绩效改进的潜力.
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