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医疗保障按绩效付费方式已经在多个国家开始实践。英国、美国、澳大利亚、法国、坦桑尼亚、卢旺达和巴西这7个国家主要把医疗保障付费是否有利于疾病预防与控制、是否保证医疗服务质量、是否使用医疗信息管理系统、是否降低医疗费用及是否增加患者满意度作为医疗保障按绩效付费项目的绩效标准。这些国家的实践表明,医疗保障按绩效付费的绩效标准要符合整个医药卫生体制改革的战略。医疗保障按绩效付费不能以牺牲医疗服务质量为代价来换取良好的医药卫生费用控制效果。
Medicare pay-for-performance has started in many countries. Whether the United States, the United States, Australia, France, Tanzania, Rwanda and Brazil mainly pay for Medicare is conducive to disease prevention and control, whether to ensure the quality of medical services, whether to use the medical information management system, whether to reduce the medical expenses and whether to increase Patient Satisfaction as a Performance Standard for Medical Benefits Payments. Practice in these countries shows that performance-based performance-based payments for Medicare should be in line with the overall health system reform strategy. Medicare pay-for-performance can not be at the expense of the quality of medical services in exchange for a good medical and health costs control effect.