Paymentandincentivesystems支付和奖励系统.PDF

Payment and incentive systems 支付和奖励系统 Dr. med. Wilm Quentin, MSc HPPF Department of Health Care Management (MiG) Berlin University of Technology European Observatory on Health Systems and Policies WHO Collaborating Centre for Health Systems, Research and Management Payment in the health system triangle 支付在卫生系统三角形 Collector of Third-party Payer resources 第三方支付 资源搜集 Raising paying resources/ providers funding Steward/ 支付供应商 Regulator 管理／调节 Population Providers 大众 供应商 Coverage: Access to / Provision of Generating Who? What? services resources How much? 20 October 2016 Vivantes SHDC Executive Training | Berlin, Germany 2 Aims of provider payment: What do we want providers to do? That … 供应商支付的目标：我们希望供应商做什么？ • they care for patients when they need care? 他们照顾需要得到照顾的病人吗？ … and do not risk-select … 以及他们不做奉献选择 • they provide services? 他们提供服务吗？ … and are not idle … 或者他们是无所事事的 • services are provided only if appropriate? 只提供适当的服务？ … and not unnecessarily … 并不必须 • expenditure is well controlled? 开支被很好的控制吗？ … and not sky-rocketing … 没有价格飙升 • services are efficiently provided? 有效地提供服务 … and money not wasted … 不浪费金钱 • service provision is transparent? … and not opaque … • provided services are of high quality? 提供的服务是高品质 … and do not endanger patient safety … 不危及病人安全 20 October 2016 Vivantes SHDC