美国价值医疗导向型支付方式进展及其启示  

Progress and implications of value-based medical payment in the United States

作　　者：谢静[1] 张抒扬[2] Xie Jing;Zhang Shuyang(Department of Infectious Diseases,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;Department of Cardiology,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院感染内科,100730 [2]中国医学科学院北京协和医学院北京协和医院心内科,北京100730

出　　处：《中华医院管理杂志》2021年第8期701-704,共4页Chinese Journal of Hospital Administration

摘　　要：价值医疗寻求在一定成本内获得更好医疗质量及健康结局,是近年来在全球范围内引起重视的医疗模式。本文介绍了价值医疗的概念,回顾其在美国出现的背景,梳理美国从按项目支付向价值医疗导向型支付方式转型的进展,并分析其面临的挑战,进而讨论了对我国医疗服务提供者进行价值医疗实践的启示,以期为我国医务工作者参与建设高价值医疗体系提供借鉴。Value-based medicine is a healthcare delivery mode with the objective of obtaining better medical quality and health outcomes at a certain cost.The authors introduced the concept of value-based medicine,reviewed its background in the United States,described the transformation of payments from fee-for-service to value-based modes of the Centers for Medicare and Medicaid Services in the United States,and analyzed current challenges of value-based payment.Then the authors discussed the implications for China′s medical service providers to carry out value-based medical practice,in order to provide reference for China′s medical workers to participate in the construction of high-value medical system.

关 键 词：支付标准制定和审核 价值医疗 质量评估 健康结局 

分 类 号：R197.1[医药卫生—卫生事业管理]