荷兰医院护理中的替代支付模式:什么是有效的,如何,为什么以及在什么情况下? 一个现实的评估研究的协议
Celine Maria Rosanne Hendriks1, Miel Antonius Petrus Vugts2, Frank Eijkenaar3
1Erasmus School of Health Policy & Management, Erasmus University Rotterdam, Rotterdam, Netherlands hendriks@eshpm.eur.nl.
BMJ open
|September 23, 2024
概括
本研究探讨了共享储蓄和捆绑支付等替代支付模式 (APM) 如何提高医疗保健价值. 它旨在确定APM成功实施的关键因素,并为提供商和付款人提供实际经验教训.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健政策和管理
- 卫生经济学 卫生经济学
背景情况:
- 医疗保健中的收费服务模式往往是为了激励体积而不是价值.
- 包括共享储蓄 (SS) 和捆绑支付 (BP) 在内的替代支付模式 (APM) 正在探索,以提高护理价值.
- 对于有助于APM成功实施的具体因素,机制和背景的理解有限.
研究的目的:
- 确定推动APM的结果的情况和潜在机制.
- 发现可转移的经验经验教训,以便在实践中开发和实施成功的APM.
- 开发一个程序理论,解释APM的上下文-机制-结果配置.
主要方法:
- 一个现实的评估方法,使用一个代的,三步过程.
- 通过文献综述进行初始程序理论开发.
- 经验测试通过多个案例研究七个SS和BP倡议在荷兰医院,采用定性 (采访,文档分析) 和定量 (差异差异) 方法.
主要成果:
- 介绍了研究方案,概述了理论开发和测试的方法.
- 数据收集将涉及多个案例研究中的多种定性和定量方法.
- 最后一步涉及完善基于经验数据和正式理论的程序理论.
结论:
- 本研究协议旨在深入了解APM的成功因素.
- 这些发现将有助于更好地了解如何优化APM在医疗保健中的实施.
- 传播包括一个实用手册的利益相关者,同行评审的出版物,和会议演讲.
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