Implementing pay-for-performance in the neonatal intensive care unit
Implementing pay-for-performance in the neonatal intensive care unit
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DOI：
10.1542/peds.2006-1565
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发表时间：
2007-05-01
期刊：
影响因子：
8
通讯作者：
Petersen, Laura A.
中科院分区：
文献类型：
--
作者：
Profit, Jochen;Zupancic, John A. F.;Petersen, Laura A.
按业绩计薪的做法在医药行业迅速蔓延。新生儿重症监护是这些努力的一个可能目标，因为成本高，可用的数据库，以及至少在某些质量指标上的相对证据强度。按绩效付费可能会改善患者护理，但需要有效的质量测量，以确保财务激励真正支持上级绩效。鉴于按业绩计薪的有效性和质量计量科学的现状目前都存在不确定性，应谨慎地在受控环境中进行按业绩计薪倡议的试验。在这篇文章中，我们描述的方法来衡量质量和实施按业绩计薪的新生儿重症监护病房设置。
Pay-for-performance initiatives in medicine are proliferating rapidly. Neonatal intensive care is a likely target for these efforts because of the high cost, available databases, and relative strength of evidence for at least some measures of quality. Pay-for-performance may improve patient care but requires valid measurements of quality to ensure that financial incentives truly support superior performance. Given the existing uncertainty with respect to both the effectiveness of pay-for-performance and the state of quality measurement science, experimentation with pay-for-performance initiatives should proceed with caution and in controlled settings. In this article, we describe approaches to measuring quality and implementing pay-for-performance in the NICU setting.