Project design study on the pilot reform of paying for performance method for some medical procedures in Shanghai
10.3760/cma.j.cn111325-20211215-01142
- VernacularTitle:上海市部分诊疗项目按绩效支付改革试点方案设计研究
- Author:
Liu LIU
1
;
Tianchi CHEN
;
Yu ZHANG
;
Yu XIA
;
Yi YANG
;
Yingyao CHEN
Author Information
1. 复旦大学公共卫生学院/国家卫生健康委员会卫生技术评估重点实验室，上海 200032
- Keywords:
Health care reform;
Payment methods of health insurances;
Innovation technologies;
Pay for performance;
Evaluation indicators
- From:
Chinese Journal of Hospital Administration
2022;38(6):439-442
- CountryChina
- Language:Chinese
-
Abstract:
With the continuous advancement of the deepening reform of the medical security system, the medical insurance payment method, as an important part of it, has become the focus of the reform. As one of the main types of innovative payment methods, payment for performance combines payment and medical service quality to improve the efficiency of medical and health services and patient satisfaction. In order to accelerate the clinical application of new medical technologies, improve patients′ access to innovative technologies, and reduce the disease economic burden of patients, Shanghai has carried out a pilot reform of paying for performance for three new technologies including Cryoablation in the treatment of cancer, Da Vinic Robotic Surgical System and Plasma MicroRNA Panel detection. Through multiple rounds of expert consultation and on-the-spot investigation, the positive detection rate, complication rate and tumor reduction rate were finally determined as the performance evaluation indicators of the three technologies, and the corresponding payment standards were defined. The pilot reform in Shanghai could provide reference for other regions to carry out performance based payment.
