按績效付酬的設置和實施現狀_West China Medical Journal

Authors：

林逸飛 ^1,2 , 杜亮 ¹ , 何亞舟 ² ,  黃進 ¹

Corresponding?author：

黃進, Email: linyf0102@gmail.com

Keywords：

按績效付酬; 設置; 實施

DOI：

10.7507/1002-0179.20130352

Video：

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為響應世界衛生組織的號召，越來越多的國家和地區開始著手醫療改革，而按績效付酬是醫療改革的重要舉措之一。通過回顧按績效付酬模式在世界相關國家和地區的應用現狀，就其所采用的評價對象、績效指標范圍、評價方式和薪酬支付情況等進行較為詳細的介紹，以期為我國醫療決策提供參考。

Citation： 林逸飛,杜亮,何亞舟,黃進. 按績效付酬的設置和實施現狀. West China Medical Journal, 2013, 28(7): 1135-1138. doi: 10.7507/1002-0179.20130352 Copy

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12.	Kontopantelis E, Doran T, Gravelle H, et al. Family doctor responses to changes in incentives for influenza immunization under the U.K. Quality and Outcomes Framework pay-for-performance scheme[J]. Health Serv Res, 2012, 47(3 Pt 1): 1117-1136.
13.	Levin-Scherz J, Devita N, Timbie J. Impact of pay-for-performance contracts and network registry on diabetes and asthma HEDIS measures in an integrated delivery network[J]. Med Care Res Rev, 2006, 63(1 Suppl): 14S-28S.
14.	Beaulieu ND, Horrigan DR. Putting smart money to work for quality improvement[J]. Health Serv Res, 2005, 40(5 Pt 1): 1318-1334.
15.	Young GJ, Meterko M, Beckman H, et al. Effects of paying physicians based on their relative performance for quality[J]. J Gen Intern Med, 2007, 22(6): 872-876.
16.	Rubinstein A, Rubinstein F, Botargues M, et al. A multimodal strategy based on pay-per-performance to improve quality of care of family practitioners in Argentina[J]. J Ambul Care Manage, 2009, 32(2): 103-114.
17.	Lee TT, Cheng SH, Chen CC, et al. A pay-for-performance program for diabetes care in Taiwan: a preliminary assessment[J]. Am J Manag Care, 2010, 16(1): 65-69.
18.	Bureau of National Health Insurance. National health insurance Pay-for-Performance program for diabetes[EB/OL]. (2008) [2013-05-20]. http://www.realsun.com.tw/new_web/pdf/95n_006.pdf.
19.	李維進. 臺灣醫院經營管理的重點與借鑒系列之一——臺灣醫院的成本控制手段[J]. 中國醫院, 2008, 12(2): 70-72.
20.	Kouides RW, Bennett NM, Lewis B, et al. Performance-based physician reimbursement and influenza immunization rates in the elderly. The Primary-Care Physicians of Monroe County[J]. Am J Prev Med, 1998, 14(2): 89-95.
21.	Roski J, Jeddeloh R, An L, et al. The impact of financial incentives and a patient registry on preventive care quality: increasing provider adherence to evidence-based smoking cessation practice guidelines[J]. Prev Med, 2003, 36(3): 291-299.
22.	Alshamsan R, Majeed A, Ashworth M, et al. Impact of pay for performance on inequalities in health care: systematic review[J]. J Health Serv Res Policy, 2010, 15(3): 178-184.
23.	Alshamsan R, Millett C, Majeed A, et al. Has pay for performance improved the management of diabetes in the United Kingdom?[J]. Prim Care Diabetes, 2010, 4(2): 73-78.
24.	Serumaga B, Ross-Degnan D, Avery AJ, et al. Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study[J]. BMJ, 2011, 342: d108.
25.	James CV, Rosenbaum S. Paying for quality care: implications for racial and ethnic health disparities in pediatric asthma[J]. Pediatrics, 2009, 123 (Suppl 3): 205-210.

1. 　Mcglynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States[J]. N Engl J Med, 2003, 348(26): 2635-2645.
2. 　Longo DR, Schubert SL. Issues in pay for performance: the case of diabetes self-management[J]. J Health Care Finance, 2006, 33(1): 17-23.
3. 　World Health Organization. The world health report 2000:health systems improving performance[EB/OL]. (2000-01-01)[2013-05-20]. http://www.who.int/whr/2000/en/whr00_en.pdf.
4. 　Roland M. Linking physicians’ pay to the quality of care--a major experiment in the United Kingdom[J]. N Engl J Med, 2004, 351(14): 1448-1454.
5. 　Lester H, Schmittdiel J, Selby J, et al. The impact of removing financial incentives from clinical quality indicators: longitudinal analysis of four Kaiser Permanente indicators[J]. BMJ, 2010, 340: 1898.
6. 　Scott IA. Pay for performance in health care: strategic issues for Australian experiments[J]. Med J Aust, 2007, 187(1): 31-35.
7. 　Buetow S. Pay-for-performance in New Zealand primary health care[J]. J Health Organ Manag, 2008, 22(1): 36-47.
8. 　Flodgren G, Eccles MP, Shepperd S, et al. An overview of reviews evaluating the effectiveness of financial incentives in changing healthcare professional behaviours and patient outcomes[J]. Cochrane Database Syst Rev, 2011, 6(7): 9255.
9. 　Campbell SM, Reeves D, Kontopantelis E, et al. Effects of pay for performance on the quality of primary care in England[J]. N Engl J Med, 2009, 361(4): 368-378.
10. 　The Health, Social Care Information Centre. The quality and outcomes framework 2011/12[EB/OL]. (2012-10-30)[2013-05-20]. http://www.ic.nhs.uk/statistics-and-data-collections/audits-and-performance/the-quality-and-outcomes-framework/the-quality-and-outcomes-framework-2011-12.
11. 　National Institute for Health, Excellence C. Quality and outcomes framework for 2012/13[EB/OL]. (2012-03-05)[2013-05-20]. http://www.nhsemployers.org/Aboutus/Publications/Documents/QOF_2012-13.pdf.
12. 　Kontopantelis E, Doran T, Gravelle H, et al. Family doctor responses to changes in incentives for influenza immunization under the U.K. Quality and Outcomes Framework pay-for-performance scheme[J]. Health Serv Res, 2012, 47(3 Pt 1): 1117-1136.
13. 　Levin-Scherz J, Devita N, Timbie J. Impact of pay-for-performance contracts and network registry on diabetes and asthma HEDIS measures in an integrated delivery network[J]. Med Care Res Rev, 2006, 63(1 Suppl): 14S-28S.
14. 　Beaulieu ND, Horrigan DR. Putting smart money to work for quality improvement[J]. Health Serv Res, 2005, 40(5 Pt 1): 1318-1334.
15. 　Young GJ, Meterko M, Beckman H, et al. Effects of paying physicians based on their relative performance for quality[J]. J Gen Intern Med, 2007, 22(6): 872-876.
16. 　Rubinstein A, Rubinstein F, Botargues M, et al. A multimodal strategy based on pay-per-performance to improve quality of care of family practitioners in Argentina[J]. J Ambul Care Manage, 2009, 32(2): 103-114.
17. 　Lee TT, Cheng SH, Chen CC, et al. A pay-for-performance program for diabetes care in Taiwan: a preliminary assessment[J]. Am J Manag Care, 2010, 16(1): 65-69.
18. 　Bureau of National Health Insurance. National health insurance Pay-for-Performance program for diabetes[EB/OL]. (2008) [2013-05-20]. http://www.realsun.com.tw/new_web/pdf/95n_006.pdf.
19. 　李維進. 臺灣醫院經營管理的重點與借鑒系列之一——臺灣醫院的成本控制手段[J]. 中國醫院, 2008, 12(2): 70-72.
20. 　Kouides RW, Bennett NM, Lewis B, et al. Performance-based physician reimbursement and influenza immunization rates in the elderly. The Primary-Care Physicians of Monroe County[J]. Am J Prev Med, 1998, 14(2): 89-95.
21. 　Roski J, Jeddeloh R, An L, et al. The impact of financial incentives and a patient registry on preventive care quality: increasing provider adherence to evidence-based smoking cessation practice guidelines[J]. Prev Med, 2003, 36(3): 291-299.
22. 　Alshamsan R, Majeed A, Ashworth M, et al. Impact of pay for performance on inequalities in health care: systematic review[J]. J Health Serv Res Policy, 2010, 15(3): 178-184.
23. 　Alshamsan R, Millett C, Majeed A, et al. Has pay for performance improved the management of diabetes in the United Kingdom?[J]. Prim Care Diabetes, 2010, 4(2): 73-78.
24. 　Serumaga B, Ross-Degnan D, Avery AJ, et al. Effect of pay for performance on the management and outcomes of hypertension in the United Kingdom: interrupted time series study[J]. BMJ, 2011, 342: d108.
25. 　James CV, Rosenbaum S. Paying for quality care: implications for racial and ethnic health disparities in pediatric asthma[J]. Pediatrics, 2009, 123 (Suppl 3): 205-210.

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