与连续护理提供者签订合同
Sverre Grepperud1, Pål Andreas Pedersen2
1University of Oslo, Oslo, Norway.
Health economics review
|December 19, 2024
概括
通过使用混合合同,财政激励可以改善护理协调. 这些合同平衡了固定预算和成本共享,以解决连续提供者护理途径的低效性.
科学领域:
- 卫生经济学 卫生经济学
- 游戏理论的游戏理论.
- 医疗保健管理的管理
背景情况:
- 分散的医疗保健系统导致高成本,低质量和患者不满.
- 当患者在顺序组织的提供者之间移动时,护理协调的挑战就会出现.
研究的目的:
- 分析金融激励 (补偿计划) 对协调护理的影响.
- 调查如何顺序提供者组织和患者转移影响护理协调.
主要方法:
- 游戏理论框架应用于三供应商模型.
- 对成本外部性和利他主义患者偏好的分析.
- 评估基于活动的合同与基于成本的合同.
主要成果:
- 基于活动的合同显示了有效的成本控制,但由于不对齐和协调不良,提供质量的效率低下.
- 最佳的基于成本的混合合同涉及固定预算,综合罚款和成本共享.
- 这些混合合同解决了协调效率低下的问题,尽管内部供应商的效率低下可能会持续下去.
结论:
- 从生产链的角度来看,为了改善护理协调,有利于基于成本的合同而不是前性合同.
- 混合合同有效地解决了顺序护理中的偏好错位和协调问题.
更多相关视频
10:38Observational Study Protocol for Repeated Clinical Examination and Critical Care Ultrasonography Within the Simple Intensive Care Studies
Published on: January 16, 2019
20.1K
08:13Development and Implementation of a Multi-Disciplinary Technology Enhanced Care Pathway for Youth and Adults with Concussion
Published on: January 20, 2019
6.6K
相关概念视频
Continuing Care
1.4K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.4K
Documentation in Long-Term and Home Healthcare Setting
873
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
873
Restorative Care
1.9K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
1.9K
Nursing Implementation
4.9K
Implementation is the execution of the nursing care plan developed during the planning phase.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
The five steps to implementing effective nursing care include reassessing the patient, reviewing and revising the existing nursing care plan, organizing the resources and care delivery, anticipating and preventing complications, and implementing nursing interventions.
4.9K
Specialized Care Centers and Settings-II
704
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
704
Planning Nursing Care I
4.3K
The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.3K
