Public reporting and pay-for-performance: Safety-net hospital executives' concerns and policy suggestions
Public reporting and pay-for-performance: Safety-net hospital executives' concerns and policy suggestions
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DOI：
10.5034/inquiryjrnl_44.2.137
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发表时间：
2007-06-01
影响因子：
1.7
通讯作者：
Dudley, R. Adams
中科院分区：
文献类型：
--
作者：
Goldman, L. Elizabeth;Henderson, Stuart;Dudley, R. Adams
安全网医院（SNH）可能不会从迅速普及的公共报告和绩效工资中获得多少经济利益，但可能会感到被迫参与（并承担数据收集的成本），以满足公众对透明度和问责制的期望。为了更好地了解SNH管理人员对公开报告和绩效薪酬的担忧，我们随机选择了加州SNH的37名高管进行了采访。SNH高管指出的主要担忧是，人力和财力资源的限制使SNH难以准确衡量其业绩。此外，一些高管认为，市场驱动的公开报告和按业绩付费可能会集中在临床领域和激励结构上，而这些领域可能不是SNH的高优先级临床领域。SNH的高管们提出了几项针对这些担忧的政策回应，比如为SNH数据收集者提供培训计划，这些计划可能相对便宜，并可能提高公共报告和按绩效付费计划的成本效益比。
Safety-net hospitals (SNHs) may gain little financial benefit from the rapidly spreading adoption of public reporting and pay-for-performance, but may feel compelled to participate (and bear the costs of data collection) to meet public expectations of transparency and accountability. To better understand the concerns that SNH administrators have regarding public reporting and pay-for-performance, we interviewed 37 executives at randomly selected California SNHs. The main concerns noted by SNH executives were that human and financial resource constraints made it difficult for SNHs to accurately measure their performance. Additionally, some executives felt that market-driven public reporting and pay-for-performance may focus on clinical areas and incentive structures that may not be high-priority clinical areas for SNHs. Executives at SNHs suggested several policy responses to these concerns-such as offering training programs for SNH data collectors-that could be relatively inexpensive and might improve the cost-benefit ratio of public reporting and pay-for-performance programs.