支付系统的碎片化:对利益相关者与伊朗新生儿重症监护支付系统的经验进行了深入的定性研究
Zakieh Ostad-Ahmadi1, Miriam Nkangu2, Mahmood Nekoei-Moghadam3
1Faculty of Management and Medical Information Sciences, Kerman University of Medical Sciences, Kerman, Iran.
Health economics review
|October 10, 2024
概括
伊朗新生儿重症监护室 (NICU) 的支付系统面临着服务费模式的挑战. 利益相关者有不同的观点,需要进行基于证据的合作改革,以提高新生儿护理质量和成本效益.
科学领域:
- 卫生政策和管理卫生政策和管理
- 新生儿护理 新生儿护理
- 医疗保健经济学 医疗经济学
背景情况:
- 伊朗新生儿重症监护室 (NICU) 目前的服务费 (FFS) 模式存在问题.
- 它导致成本增加,护理分散,因利益相关者的利益冲突而导致质量下降.
研究的目的:
- 探索利益相关者的经验和挑战与伊朗现有的NICU支付系统.
- 考虑替代支付模式,以改善新生儿重症监护.
主要方法:
- 定性研究采用与各种卫生系统利益相关者进行关键信息人采访.
- 从2022年3月到2023年9月收集的数据使用有目的和雪球采样.
- 使用MAXQDA对转录的数据进行感应主题分析,并严格保证质量.
主要成果:
- 确定的问题包括服务的可访问性,不断上升的成本,新生儿科医生补偿和护理质量.
- 利益相关者提出了多种不同的支付模式:保险高管赞成前性支付,教师支持修改的FFS/每日费,新生儿科医生指出低关税和支付延迟.
结论:
- 伊朗的NICU支付系统需要紧急,基于证据的改革.
- 需要共同努力来解决结构性和文化问题.
- 一个最佳的支付系统对于支持新生儿护理和使所有利益相关者受益至关重要.
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