The impact of financial incentives on quality of health care

被引:100
作者
Dudley, RA [1 ]
Miller, RH [1 ]
Korenbrot, TY [1 ]
Luft, HS [1 ]
机构
[1] Univ Calif San Francisco, Inst Hlth Policy Studies, San Francisco, CA 94109 USA
关键词
D O I
10.1111/1468-0009.00109
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Purchasers of health care could offer financial incentives to plans or providers in order to increase quality. Unfortunately, the current health care market, in which quality is rarely measured and there is no risk adjustment, actively discourages both plans and providers from maximizing quality, resulting in a poor overall level of quality, both in fee-for-service arrangements and health maintenance organizations. Health plans and providers will not focus on quality until mechanisms to correct for risk differences among enrollees can be developed. Although such risk adjustment will be the most important stimulus for quality, it should also be linked to improvements in information systems and agreement on a minimum benefits package, quality reporting standards, and financial solvency requirements.
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页码:649 / +
页数:39
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