资助"村庄":为儿童行为健康建立一个可持续的金融系统
Chuan Mei Lee1, Robert M Kaplan2, Suzie C Nelson3
1Department of Psychiatry and Behavioral Sciences, UCSF, 675 18th Street, Box 3132, San Francisco, CA 94143, USA; Clinical Excellence Research Center, Stanford University School of Medicine, Stanford, CA, USA.
概括
儿童和青少年行为健康服务面临着高需求和劳动力短缺. 本次讨论探讨了可持续的支付模式,倡导以价值为基础的护理,以提高质量和管理成本.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健 金融 医疗保健 金融
- 儿童和青少年精神病学
背景情况:
- 对儿童和青少年行为健康服务的需求不断增长.
- 持续的专业劳动力短缺服务于这个人口.
- 在行为健康护理的可持续提供和融资方面的挑战.
研究的目的:
- 检查行为健康服务的各种支付模式.
- 分析不同融资方法的优缺点.
- 倡导转向以价值为基础的护理.
主要方法:
- 审查传统的服务费支付模式.
- 分析替代支付结构 (提供者薪水,全球支付,绩效支付).
- 讨论对医疗保健质量和成本控制的影响.
主要成果:
- 收费服务模式在可持续交付方面存在局限性.
- 替代模型提供潜在的好处,但需要仔细实施.
- 过渡到以价值为基础的护理对于改善结果和效率至关重要.
结论:
- 儿童和青少年行为健康的可持续融资需要创新的支付策略.
- 基于价值的护理模式对于提高质量和控制成本至关重要.
- 解决劳动力短缺问题对于有效提供服务至关重要.
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