选择国家的全科医生和专家的绩效支付系统:一项比较研究
Mohammad Ebrahim Eghbali1, Hamid Pourasghari1,2, Hasan Abolghasem Gorji1,3
1Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
Journal of preventive medicine and hygiene
|August 4, 2025
概括
基于绩效的支付系统在全球范围内越来越多地用于管理卫生资源. 这项研究比较了这些系统,发现临床质量通常是权重最高的,以及患者的体验和访问.
科学领域:
- 卫生政策和管理卫生政策和管理
- 卫生经济学 卫生经济学
- 医疗保健系统比较研究
背景情况:
- 对卫生系统财务和人力资源的需求不断增加,需要有效的管理策略.
- 基于绩效的支付 (PBP) 已成为卫生和福利政策制定者的关键政策工具.
- 了解PBP组件对于优化资源配置和系统性能至关重要.
研究的目的:
- 在选定的国家进行基于绩效的支付系统组件的比较分析.
- 在不同医疗保险,系统开发和经济环境中确定PBP实施的共同点和差异.
主要方法:
- 2021年进行了一项比较研究,根据医疗保险类型,PBP系统发展和经济状况选择国家.
- 用比较分析表来组织发现.
- 对PBP系统 (目标,活动,参与者,激励/处罚) 的一般框架指导了分析.
主要成果:
- 在大多数分析的PBP计划中,临床质量始终获得了最高的权重.
- 其他重要维度包括患者体验和满意度,医生财务表现和患者获得服务.
- 风险调整方法 (例如,例外报告,联合支付,人口调整) 常用于减轻提供者风险,并积极参与临床提供者参与计划设计.
结论:
- 基于绩效的支付计划被广泛采用,但面临着固有的局限性.
- 将奖励与个人,团队和组织层面的绩效联系起来,可以促进改善团队合作和综合医疗保健服务.
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