"与任务相关的资金流":对临床部门的影响
概括
加州大学戴维斯分校卫生部实施了一种新的资金流模式,改善了医生的薪酬和招聘. 虽然最初在财政上具有挑战性,但该模型增强了部门财务和医院捐款,并计划进一步优化.
科学领域:
- 卫生经济学 卫生经济学
- 学术医学 学术医学
- 医疗保健管理的管理
背景情况:
- 学术医疗中心面临着高成本,低报销和竞争的财务压力.
- 教师薪酬不平等,医生退出,招聘挑战源于诸如公共付款者混合和研究支持负担等因素.
研究的目的:
- 实施和评估加州大学戴维斯大学卫生部的一种对齐的资金流模式,以应对财务挑战并优化部门资源.
- 创建一个符合使命的财务模式,支持招聘,留住,研究和教学.
主要方法:
- 加州大学戴维斯大学卫生部在2021年7月采用了一种对齐的资金流模式.
- 该模式旨在为所有部门提供财务利,无论支付人的混合情况如何.
主要成果:
- 在三个学年 (2021-2024) 期间,该模型导致医生的薪酬,招聘和部门利增加.
- 总收藏量和生产率都出现了持续的增长,第三年有显著的增长.
- 医院对资金流的贡献大幅增加,从2022年的6700万美元增加到2024年的1.01亿美元.
- 由于收入模式的调整,观察到跨服务行业的平价性改善.
结论:
- 资金流模式改善了医生薪酬和招聘,但提出了最初的财政挑战.
- 维持该模型需要持续的沟通,透明度,以及对财务平衡的潜在微调.
- 未来的计划包括将初级保健转换为以生产率为基础的模型,并调整新的教师支持时间.
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