如何促进基于价值的支付模式的引入?
Diogo L L Leao1,2, Milena Pavlova1,2, Wim N J Groot1,2
1Department of Health Services Research, CAHPRI, Maastricht University Medical Center, Maastricht, The Netherlands.
The International journal of health planning and management
|December 20, 2023
概括
实施基于价值的支付 (VBP) 试点项目需要仔细考虑内部和外部因素. 关键要素包括明确的合同条款,明确的结果和有效的合作,以成功实现医疗保健转型.
科学领域:
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
- 卫生政策 卫生政策
背景情况:
- 基于价值的支付 (VBP) 模式旨在提高医疗保健成果,同时管理成本.
- 广泛采用VBP需要医疗机构和保险公司进行重大运营转变.
- 试点项目是VBP模型广泛实施的关键前体.
研究的目的:
- 概述成功VBP试点项目的基本要素.
- 确定医疗保健组织内部的关键考虑因素,外部因素和合同协议.
- 为支付人制定与医疗保健组织签订VBP试点协议的要求提供指导.
主要方法:
- 对VBP试点模型的关键元素的文献综述.
- 对内部组织因素,外部上下文因素和合同要素的分析.
- 综合VBP实施的最佳实践.
主要成果:
- 成功的VBP试点需要组织和多学科内部团队之间的合作.
- 透明度,标准化沟通和有效的领导力至关重要.
- 合同协议必须明确规定结果措施,绩效指标和适当的激励措施.
结论:
- 付款人必须在设计VBP试点项目时全面考虑内部,外部和合同因素.
- 有效的VBP实施取决于稳健的规划,明确的沟通和一致的激励措施.
- 解决监管因素和促进合作对于VBP的成功至关重要.
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