绩效支付和急性护理中的患者安全:系统性审查
Luke Slawomirski1, Martin Hensher1, Julie Campbell1
1Menzies Institute for Medical Research, University of Tasmania, 17 Liverpool St., Hobart 7000, Tasmania, Australia.
医院的绩效支付 (P4P) 在提高患者安全方面显示出不同的结果. 证据质量很低,系统范围的政策很少,收入影响很小,除了英格兰的关节骨折BPT.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 绩效支付 (P4P) 计划在医疗保健领域广泛实施,以解决质量和结果的缺陷.
- 关于P4P有效性的证据,特别是在急性护理环境中,仍然没有确定性.
- 本系统性审查专门审查了P4P对医院患者安全的影响.
结论:
- 有效的P4P需要简单,透明的设计,临床社区的参与,以及与其他质量倡议的整合.
- 建议逐步实施P4P政策.
- 提出未来的研究议程,以加强P4P在患者安全方面的证据基础.
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