The perceived financial impact of quality improvement efforts in community health centers.
The perceived financial impact of quality improvement efforts in community health centers.
复制标题
社区卫生中心质量改进工作的预期财务影响。
DOI：
10.1097/01.jac.0000314701.50042.0b
复制
发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Huang,ElbertS
中科院分区：
文献类型：
--
作者：
Cheung,Karen;Moiduddin,Adil;Chin,MarshallH;Drum,MelindaL;Brown,SydneyES;Graber,JessicaE;Heuer,Loretta;Quinn,MichaelT;Schaefer,CynthiaT;Schlotthauer,AmyE;Huang,ElbertS
我们对100名社区卫生中心的首席执行官（CEO）进行了调查，以确定他们对健康差异合作组织（一项国家质量改进计划）的财务影响的看法。三分之一的首席执行官认为，HDC对他们的健康中心产生了负面的财务影响，这种看法与没有保险的患者比例较高的中心显著相关。基于绩效的支付激励措施可能会改善护理，但也可能给治疗未投保人口的设施增加新的财政负担。因此，如果要可持续发展，在设计QI计划时可能需要考虑提供商的付款人组合。
We administered surveys to 100 chief executive officers (CEOs) of community health centers to determine their perceptions of the financial impact of the Health Disparities Collaboratives, a national quality improvement initiative. One third of the CEOs believed that the HDC had a negative financial impact on their health center, and this perception was significantly correlated with centers having a higher proportion of uninsured patients. Performance-based payment incentives may improve care but may also add new financial burdens to facilities that treat the uninsured population. As such, a provider's payer mix may need to be considered in the design of QI programs if they are to be sustainable.