在医疗保健中建立替代支付模式
Steven W Howard1, Natalie Bradford2, Rhonda Belue2
1Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, United States.
Frontiers in health services
|July 1, 2024
概括
行业专家分享了关于设计和实施医疗保健替代支付模式 (APM) 的见解. 关键发现强调了医生领导和实践转型的关键作用,以及影响APM成功的监管问题.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理的管理
- 卫生经济学 卫生经济学
背景情况:
- 全球对以价值为基础的医疗保健模式越来越感兴趣.
- 关于早期阶段的替代支付模式 (APM) 和私人合同,存在证据缺口.
- 需要了解APM的专家设计和实施.
研究的目的:
- 更新行业专家对APM设计和实施的文献.
- 确定APM开发中的关键元素和利益相关者.
- 探索APM如何在实践中设计和签订合同.
主要方法:
- 进行文献审查以指导研究.
- 雇佣的雪球抽样招聘16名专家 (中小企业).
- 在美国,荷兰和德国进行了16次半结构化采访,并进行了主题分析.
主要成果:
- 确定了五个关键设计主题:人口/范围,数据/技术,金融/激励,提供商伙伴关系和领导/监管.
- 确认了现有的APM组件,并强调了医生领导和实践转型的重要性.
- 发现了与数据共享和定价相关的重大监管障碍,这些障碍阻碍了APM的实验和成功.
结论:
- 医生领导和实践转型对于APM成功至关重要.
- 政策制定者必须解决数据共享和定价方面的监管障碍,以使APM勃发展.
- 需要进一步的研究,以优化APM设计和实施在不同的医疗保健环境.
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