为多中心NAPKON队伍提供精确的基于绩效的报销模式 - - 开发和评估
Katharina S Appel1,2, Chin Huang Lee3, Susana M Nunes de Miranda3
1Goethe University Frankfurt, University Hospital, Center for Internal Medicine, Medical Department 2 (Hematology/Oncology and Infectious Diseases), Theodor-Stern-Kai 7, 60596, Frankfurt, Germany. appel@med.uni-frankfurt.de.
Scientific reports
|June 13, 2024
概括
一种新的基于绩效的报销模式 (PBRM) 为资助多中心临床研究提供了一个透明和灵活的解决方案,其表现优于传统的固定利率和前期分配模式.
科学领域:
- 卫生经济学 卫生经济学
- 临床试验管理 临床试验管理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 在多中心临床研究中,公平的资金分配是复杂的.
- 德国现有的固定利率 (FRM) 和前期分配 (UFAM) 等模式缺乏透明度和适应中心绩效变化的适应性.
研究的目的:
- 为多中心临床研究开发和评估基于绩效的报销模式 (PBRM).
- 用国家流行病队列网络 (NAPKON) 的数据比较PBRM与FRM和UFAM的成本效益.
主要方法:
- 开发了一种基于验证的研究协议数据进行活动的自动计算的PBRM.
- 在大学医学网络 (NUM) 中,将PBRM应用于NAPKON队列.
- 与FRM和UFAM相比,比较了PBRM输出和评估的成本效益.
主要成果:
- 该中心的病例招聘有很大的差异 (1至164例).
- 平均病例赔偿金在各个队列和中心之间存在差异,通常低于预期.
- 比FRM和UFAM,PBRM的成本效益更高,特别是对于招聘率较低的中心.
结论:
- 一个透明,准确和灵活的PBRM已经开发出来.
- PBRM适用于预期异质性的多中心协作,有效地解决性能差异.
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