基于绩效评估的医疗联盟中分享和使用EHR的激励机制
Sheng Hu Tian1,2,3, Rong Jiang2, Yu Chen3
1Business School, Yunnan University of Finance and Economics, Kunming, China.
Frontiers in public health
|January 22, 2024
概括
这项研究开发了共享电子健康记录 (EHR) 的激励机制,以改善医院合作和竞争. 绩效评估显著提高了EHR共享效率和医院效益.
科学领域:
- 医疗信息学 医疗信息学
- 医疗保健管理的管理
- 经济学 经济学 经济学
背景情况:
- 医疗联盟促进医院之间的合作和竞争.
- 电子健康记录 (EHR) 的共享使用破坏了现有的医院福利分配模式.
研究的目的:
- 建立共享电子健康记录使用的激励机制.
- 分析关键因素对EHR共享激励措施的影响.
- 提出管理策略,以解决因电子健康记录共享而产生的冲突.
主要方法:
- 开发了EHR共享的基本和绩效评估集成的激励模式.
- 分析了医院的成本,收益和激励合同功能.
- 使用MATLAB模拟来比较绩效评估集成前后的激励效应.
主要成果:
- 医院利和EHR共享的激励系数独立于政府补贴.
- 激励系数随着 ρ 和 τ 的增加而增加,但随着 β, δ 和 γ 的下降而下降,而不管绩效评估如何.
- 纳入绩效评估扩大了EHR利用对激励和福利的积极影响.
- 增值系数对收入的影响在绩效评估时更大.
结论:
- 提高EHR利用能力和增值潜力对于可持续的EHR共享至关重要.
- 实质性绩效评估对于稳定EHR共享系统中的激励效应至关重要.
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