国际战略,经验和支付模式,以激励日间手术
Anika Kreutzberg1, Helene Eckhardt1, Ricarda Milstein2
1Department of Health Care Management, Technische Universität Berlin, Administrative office H80, Straße des 17. Juni 135, Berlin 10623, Federal Republic of Germany.
Health policy (Amsterdam, Netherlands)
|January 3, 2024
概括
日间手术为住院护理提供了经济高效的替代方案,支付模式是增加其采用的关键. 建议在更广泛的卫生系统改革中整合的财政激励措施,以提高日间手术率.
科学领域:
- 卫生政策 卫生政策
- 卫生经济学 卫生经济学
- 手术护理 手术护理
背景情况:
- 日间手术越来越被认为是传统住院住院的经济有效替代方案.
- 虽然欧洲的日间手术率有所上升,但采用率仍然异质,可能低于最佳水平.
- 支付系统显著影响医疗保健提供者的行为,可以用来促进日间手术.
研究的目的:
- 审查促进日间手术的国际战略,重点关注支付模式.
- 为了比较13个经济合作与发展组织 (OECD) 国家的支付策略.
- 确定能够提高日间手术活动率的政策工具.
主要方法:
- 通过对卫生政策专家的电子邮件调查进行跨国比较.
- 对同行评审和灰色文学进行全面的文献综述.
- 分析了13个经合组织国家的支付模式和政策措施.
主要成果:
- 所有被调查的国家都旨在加强白天手术,以提高卫生系统的效率.
- 用各种金融和非金融政策措施来解决不一致的激励措施.
- 金融激励被认为是推动日间手术采用变革的有力政策工具.
结论:
- 金融激励措施应纳入全面的卫生系统重组,以有效地促进日间手术.
- 持续监测和评估支付系统对日间手术率的影响对于明智的政策决策至关重要.
- 优化支付模式可以释放日间手术增长和卫生系统效率的进一步潜力.
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