从数量到质量的转变:美国新兴的按治疗事件支付方式  

Transforming from Quantity to Quality:Emerging Episode-based Payment Model in the USA

作　　者：何江江 蔡江南[2] 丁汉升 谢春艳 

机构地区：[1]上海市卫生发展研究中心,上海200040 [2]复旦大学经济学院,上海200433

出　　处：《中国卫生经济》2010年第9期94-96,共3页Chinese Health Economics

摘　　要：按治疗事件支付,是基于治疗事件的预期成本来补偿卫生服务提供方。通常根据选定条件或主要程序来定义治疗事件,包括在过去一段时间内,由不同供方提供的各项医疗服务。支付可以根据疾病严重程度或工作绩效进行调整。通过对按治疗事件支付方式的介绍,总结其预期效果、潜在的问题、既往经验与证据和具体实施策略,为我国医疗支付方式领域的改革提供借鉴。Episode-based payments reimburse providers on the basis of expected costs for clinically-defined episodes of care.Episodes of care are typically defined on the basis of selected conditions or major procedures,and include clinically related services provided by various providers over a period of time.Episode-based payments may also be adjusted for severity of illness and quality performance.Based on an introduction of episode of care payment approaches,intended effects,potential problems,experience with implementation,evidence and implementation strategies are summarized,and then an important lesson to China payment systems reform on healthcare services is offered.

关 键 词：美国 卫生服务 治疗事件 支付方式 

分 类 号：R199[医药卫生—卫生事业管理]