印度地区医院响应性融资框架
Shankar Prinja1, Gaurav Jyani1, Aarti Goyal1
1Postgraduate Institute of Medical Education and Research, Chandigarh, India.
Frontiers in public health
|October 31, 2024
概括
印度 印度 印度
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健的融资 医疗保健的融资
- 公共卫生系统 公共卫生系统
背景情况:
- 印度的公共部门地区医院是通过历史的拨款来资助的,而不是实际的需求或利用.
- 这种过时的模式阻碍了有效的资源分配和公平的医疗保健服务.
研究的目的:
- 为印度的地区医院制定一个新的融资框架.
- 通过使用实证数据,使医院预算与医疗保健提供成本和需求保持一致.
主要方法:
- 分析了印度9个州27个地区医院的成本数据.
- 混合支付方法的应用:风险调整的全球预算,基于案例的捆绑支付和每个病床的全球预算.
- 对当前标准和升级情景 (IPHS,医学院) 的预算影响分析.
主要成果:
- 地区医院的平均年度预算为3.26亿卢比,住院护理是最大的组成部分 (78%).
- 将医院升级为印度公共卫生标准 (IPHS) 或医学院可以使预算分别增加131%和91.5%.
- 拟议的混合支付模式被评估为财政影响.
结论:
- 实施混合支付方法可以使资金与实际医疗保健需求保持一致.
- 该模型支持提高提供者的绩效和为全民医疗覆盖提供战略采购.
- 该研究提供了一个数据驱动的框架,用于改革印度的医疗保健融资.
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