九个中东欧国家的医疗保健提供者支付计划及其自2010年以来的变化 - - 一项比较分析
Costase Ndayishimiye1, Marzena Tambor2, Daiga Behmane3
1Institute of Public Health, Faculty of Health Sciences, Jagiellonian University Medical College, Krakow, Poland; Doctoral School of Medical and Health Sciences, Jagiellonian University Medical College, Krakow, Poland.
Health policy (Amsterdam, Netherlands)
|February 16, 2025
概括
中欧和东欧国家的医疗保健提供者支付计划类似,以产出为基础的支付占主导地位. 最近的改革重点是改进现有方法,增加基于绩效的薪酬.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
- 医疗保健系统比较研究
背景情况:
- 医疗保健提供者支付计划是影响提供者的行为复杂的机制.
- 了解这些计划对于实现卫生政策目标至关重要.
研究的目的:
- 提供对部分中东欧 (CEE) 国家的公共卫生保健提供者支付计划的比较概述.
- 确定和比较自2010年以来这些支付计划的重大变化.
主要方法:
- 开发一个数据收集表格.
- 广泛的办公室研究和与国家专家的商.
- 九个中东欧国家支付计划的比较分析.
主要成果:
- 九个中东欧国家表现出类似的提供商支付方式组合和最近的改革趋势.
- 基于输出的支付方法在所有类型的提供商中都很普遍.
- 主要医疗保健 (PHC) 和住院护理是最常见的支付计划修改.
结论:
- 中东欧国家在医疗保健提供者支付计划和改革方向上有共同点.
- 修改通常涉及完善现有方法,并纳入基于绩效的元素.
- 由于类似的改革目标,跨国学习有很大的潜力.
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