专家就瘤学基于价值支付的基本特征达成共识
Michael Fazio1, Rhonda Henschel2, Aaron J Lyss3
1Navista/Cardinal Health, Dublin, OH.
The American journal of managed care
|December 11, 2025
概括
瘤学中的基于价值的支付 (VBP) 模型需要以患者为中心的护理,风险调整和特定的结果措施才能取得成功. 未来的模型必须调整激励措施,并适应临床复杂性,以实现可持续,公平的癌症护理.
科学领域:
- 在瘤学瘤学.
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
背景情况:
- 基于价值的支付 (VBP) 模式越来越多地成为瘤医疗服务的核心.
- 目标是提高质量,成本效益和以患者为中心.
- 了解有效的瘤VBP模型的基本特征至关重要.
研究的目的:
- 确定有效的瘤学基于价值的支付模式的关键元素和特征.
- 在瘤专家中评估这些要素的重要性和可行性.
主要方法:
- 一个经过修改的Delphi过程,涉及9个不同的瘤专家.
- 两轮调查使用利克特尺度来评估VBP模型元素.
- 一个面对面的讨论,以进一步完善专家的共识.
主要成果:
- 在患者为中心的护理,风险调整和瘤学特异性结果措施的必要性上达成共识.
- 按绩效支付和增强的每月支付模式是可行的,但在指标和退款方面面临批评.
- 双面风险和成本控制模型看起来有希望,但存在实施挑战,特别是在较小的实践中.
结论:
- 有效的瘤VBP模型需要与利益相关者协调一致的激励措施,并适应临床复杂性.
- 未来的模型必须是代的,支持癌症护理的创新,公平和可持续性.
- 障碍包括利益相关者的不协调,财务风险和缺乏标准化的基准.
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