在初级保健中建立健康指导的支付模式:来自田纳西州的教训
James E Bailey1, Susan W Butterworth, Ashley Ellis
1Center for Health System Improvement, University of Tennessee Health Science Center, 956 Court Ave, Coleman D222, Memphis, TN 38163.
田纳西州召集了利益相关者,为预防性服务制定支付指南. 这一举措改善了健康指导的获取,并证明了协作健康推广网络对政策协调和护理质量的价值.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生政策 公共卫生政策
- 医疗保健管理的管理
背景情况:
- 增加预防性服务的提供是医疗保健的一个关键目标.
- 制定统一的支付准则需要多方利益相关者的合作.
- 国家层面的举措可以推动医疗保健的获取和质量的显著改善.
研究的目的:
- 详细说明田纳西州的利益相关者参与过程,以制定支付指南.
- 促进更多地提供预防性医疗保健服务.
- 为其他采取类似举措的州分享经验教训.
主要方法:
- 采用了一种描述性的案例研究方法.
- 用观察方法记录了这个过程.
- 该研究的重点是召集田纳西州的关键利益相关者.
主要成果:
- 田纳西州心脏健康网络促进了医疗补助,健康计划和提供者代表之间的共识.
- 制定和实施了健康指导补偿的共同指导方针,重点是以团队为基础的初级保健中的心血管健康.
- 这种合作证明了政策制定和服务提供改进的成功模式.
结论:
- 全州范围内的多利益相关者医疗保健推广合作社可以有效地协调医疗补助和医疗保险支付政策.
- 这些合作社显示出改善医疗保健提供系统的潜力.
- 这些举措为提高州级医疗保健的准入和质量提供了显著的好处.
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