一个降低成本的退款计划? 基于价值的补偿对医疗保健成本的影响
Thérèse Eriksson1, Hans Tropp2,3, Ann-Britt Wiréhn4
1Department of Health, Medicine and Caring Sciences (HMV), Linköping University, Linköping, Sweden.
Frontiers in public health
|December 26, 2024
概括
在瑞典,基于价值的补偿在两年内将腰椎手术的平均成本降低了11%. 尽管患者数量增加和总成本增加,但由于患者的结果更为积极,支付人的总体价值有所改善.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
- 脊柱外科手术的结果
背景情况:
- 基于价值的报销 (VBR) 计划旨在控制医疗保健成本,而不影响质量.
- 全球越来越多地采用VBR模型,因此需要分析其财务影响.
研究的目的:
- 分析VBR计划对第三方支付人腰椎手术费用的影响.
- 评估事件成本,患者数量和VBR实施后总体价值的变化.
主要方法:
- 具有前后设计的回顾性观察研究.
- 分析瑞典住院和门诊腰椎手术 (2006-2015年) 的患者级成本数据.
- 在引入VBR之前和之后的1年病例成本和患者数量的比较.
主要成果:
- 在VBR.后的前两年,平均1年病例成本下降了11%.
- 在同一时期,患者数量增加了22%,导致总成本增加了8%.
- 对第三方付款人的价值因患者治疗数量增加和积极的结果而增加.
结论:
- 在瑞典实施VBR导致了节目成本的降低,并为付款人增加了总体价值.
- 降低成本的潜在驱动因素包括改善退院后护理协调.
- 可持续价值要求医疗保健提供者采用具有成本效益的长期护理提供模式.
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