Study of international experience in capitation performance evaluation framework and indicator system
10.3760/cma.j.cn111325-20230428-00341
- VernacularTitle:按人头付费绩效评价框架和指标体系的国际经验研究
- Author:
Hang XU
1
;
Xiaojing MA
;
Yudong WANG
;
Yue WANG
Author Information
1. 中国医学科学院医学信息研究所，北京 100020
- Keywords:
Outpatient;
Capitation;
Performance evaluation;
Indicators;
International experience
- From:
Chinese Journal of Hospital Administration
2023;39(10):756-762
- CountryChina
- Language:Chinese
-
Abstract:
In order to ensure the smooth implementation of the capitation reform of outpatient clinics in China, it is urgent to establish a set of appropriate performance evaluation framework and index system. This study sorted out and described the capitation performance evaluation framework, index system content and payment rules of the United Kingdom, the United States, the Netherlands and Portugal, and conducted international comparison and analysis from the dimensions of service delivery mode, evaluation system, evaluation object, evaluation purpose, evaluation dimension, indicator setting, and incentive mechanism. Combined with the implementation status of the outpatient capitation payment reform in China, the following suggestions were put forward for the establishment of the outpatient capitation payment performance evaluation index system: introduce medical quality evaluation indicators based on value results, and link the evaluation results with the incentive mechanism; Select appropriate evaluation content based on the characteristics of the implementation institution and guarantee scope of the capitation reform and so on; The setting of evaluation indicators should be adjusted dynamically according to local conditions, and the combination of fixed indicators and personalized indicators should be explored; Adopt diversified index assessment forms and quality evaluation dimensions to ensure the statisticity and malleability of performance evaluation.
