Multitasking and mixed systems for provider payment
Multitasking and mixed systems for provider payment
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DOI：
10.1016/j.jhealeco.2004.09.001
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发表时间：
2005-01-01
影响因子：
3.5
通讯作者：
Eggleston, K
中科院分区：
文献类型：
--
作者：
Eggleston, K
一心多用的问题是指，当某些任务的预期结果比其他任务更难衡量时，如何设计激励机制来激励多项任务的适当努力。多任务处理在医疗保健中非常普遍。我用一个简单的模型来说明，多任务处理的问题进一步强化了支持混合支付系统的传统论点，比如部分资本充足制。当按绩效付费的衡量标准不能完美地奖励特定于服务的质量努力时，使用混合支付有助于平衡对跨服务质量努力的激励。(C)2004爱思唯尔B.V.保留所有权利。
The problem of multitasking refers to the challenge of designing incentives to motivate appropriate effort across multiple tasks when the desired outcomes for some tasks are more difficult to measure than others. Multitasking is pervasive in health care. I use a simple model to show that the problem of multitasking further strengthens conventional arguments for mixed payment systems such as partial capitation. When pay-for-performance metrics are imperfect for rewarding service-specific quality efforts, using mixed payment helps to balance incentives for quality effort across services. (C) 2004 Elsevier B.V. All rights reserved.