지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
초록· 키워드
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This paper investigates the possibility of expanding pay-for-performance (P4P) program as a provider payment system, in terms of financial, economical, and political sustainability. In order to expand the sustainable P4P, P4P should have usefulness in terms of economic value as well as efficiency in the financial aspects of health care. More importantly, the P4P would be politically sustainable only when both providers and consumers can accept. Korea's healthcare system seems to have logical ground for the P4P program financially and economically. However, how well the P4P can work remains to be proven in its implementation. After 43 tertiary hospitals applied the P4P program for acute myocardial infarction (AMI) and C-section in 2007, the number of hospitals adopting the P4P program for AMI and C-section has increased to 316 in 2011, and an incentive for hospitals applying the P4P has risen to 2% from 1% of health insurance benefits. This shows that the P4P program introduced by Health Insurance Review and Assessment Service is quite successful. In addition, people are aware of the need for improved P4P program and policy alternatives have been already made. Therefore, it is very important to come up with politically supportable strategies that can make providers and consumers accept the P4P program while maintaining the governance of the existing health insurance policy. To this end, there are some tasks to be considered. First, the expansion of the P4P program should be placed on the agenda of the Health Insurance Policy Review Committee, the highest decision-making body, and a separate agency for P4P planning should be established. Second, for more efficient P4P program, the processes of review and assessment, currently carried out separately, should be integrated into a single process. Third, infrastructure to measure the quality of medical services should be sharply expanded. Fourth, the current paradigm for the assessment should be changed. Lastly, a P4P program for consumers should be considered. Given that the consumers in Korea can use medical services freely, the National Health Insurance Corporation could initiate the P4P program for consumers as a means of controlling excessive use of medical services and adjusting consumer's moral hazard.
목차
등록된 정보가 없습니다.
참고문헌 (50)
참고문헌 신청
Agency for Healthcare Research and Quality / Evaluating of the use of AHRQ and other quality indicators [Internet]
Bevan G / 2011 / Creating incentives for improving quality of health care by publishing information on performance: high performing and sustainable health care system / International Symposium co-hosted by HIRA-OECD
Buetow S / 2008 / Pay-for-performance in New Zealand primary health care / J Health Organ Manag 22(1):36~47
Campbell SM / 2009 / Effects of pay for performance on the quality of primary care in England / N Engl J Med 361(4):368~378
Casalino LP / 2007 / General internists’ views on pay-for-performance and public reporting of quality scores: a national survey / Health Aff (Millwood) 26(2):492~499
Bevan G / 2011 / Creating incentives for improving quality of health care by publishing information on performance: high performing and sustainable health care system / International Symposium co-hosted by HIRA-OECD
Buetow S / 2008 / Pay-for-performance in New Zealand primary health care / J Health Organ Manag 22(1):36~47
Campbell SM / 2009 / Effects of pay for performance on the quality of primary care in England / N Engl J Med 361(4):368~378
Casalino LP / 2007 / General internists’ views on pay-for-performance and public reporting of quality scores: a national survey / Health Aff (Millwood) 26(2):492~499
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