从法国慢性病护理新资本支付模式实施阶段的经验教训:定性研究
Maxime Raffray1,2, Arnaud Campéon3, Damien Bricard4
1CNRS, Inserm, Arènes-UMR 6051, RSMS-U1309, École des hautes études en sante publique, Rennes, France. maxime.raffray@ki.se.
Journal of nephrology
|April 22, 2025
概括
法国 法国 法国 法国法国
科学领域:
- 科和医疗保健管理
- 卫生经济学和政策
背景情况:
- 法国为4级和5级慢性病 (CKD) 患者实施了CKD-Capitation支付模式.
- 该模式鼓励提供多学科的护理服务.
研究的目的:
- 确定CKD-资本化支付模式的实施障碍和促进者.
- 评估最初的好处,并建议对CKD护理的政策改进.
主要方法:
- 使用半结构面试进行的定性研究,对法国14个设施的22名员工进行了半结构面试.
- 对2023年3月至7月期间收集的面试成绩单进行主题分析.
- 根据所有权和模型活动数据进行设施选择.
主要成果:
- 信息系统的调整是实施的一个主要障碍,影响了效率和数据质量.
- 劳动力短缺和确保管理支持也带来了挑战.
- 积极影响包括增加护士-病人时间和加强营养师角色,呼吁更大的访问灵活性.
结论:
- 在法国,CKD-Capitation支付模式为CKD患者提供了多学科和协调的护理.
- 互操作的信息系统和模型灵活性对于成功的长期采用至关重要.
- 政策改进应侧重于系统支持和适应性护理途径.
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