WONCA研究论文摘要汇编——安大略省初级保健癌症筛查成本激励效应
发布时间：2018-09-06 08:55
【摘要】：目的尽管绩效薪酬已被广泛应用,但是能证明其有效性的证据却少之又少。此研究评价了加拿大安大略省的初级护理医师引入绩效薪酬与癌症检出率提升的相关性,并且将确定医师的薪酬作为此项研究的一部分。方法对管理数据进行纵向分析,以确定1999—2000年到2009—2010年每一财政年度的癌症检出率和激励成本。通过分段线性回归分析,评价在2006—2007年引进激励后,癌症检出率的趋势是否有变化或急剧变化。分析中纳入了所有安大略省的宫颈癌、乳腺癌和结肠癌的检查。结果研究发现,引进激励后3种癌症的检出率并没有发生较大变化。结肠癌检出率在引进激励前每年的增长速度为3.0%〔95%CI(2.3%,3.7%)〕,引进激励之后每年为4.7%〔95%CI(3.7%,5.7%)〕。引进激励后,宫颈癌和乳腺癌每年的检出率未见较大变化。2006—2007年到2009—2010年,分别投入了2 830万、3 130万和5 000万美元用于宫颈癌、乳腺癌和结肠癌的财政激励。结论尽管投入了大量财政成本,绩效薪酬计划几乎未能改善检出率。决策者应考虑其他策略提升癌症检出率。
[Abstract]:Objective although performance pay has been widely used, there is little evidence to prove its effectiveness. The study evaluated the correlation between the introduction of performance pay by primary care physicians in Ontario, Canada, and increased cancer detection rates, and identified physician pay as part of the study. Methods the management data were analyzed longitudinally to determine the cancer detection rate and incentive cost for each fiscal year from 1999-2000 to 2009-2010. A piecewise linear regression analysis was used to evaluate whether the trend of cancer detection rate had changed or changed sharply after the introduction of incentives in 2006-2007. The analysis included all Ontario screening for cervical, breast and colon cancer. Results the results showed that there was no significant change in the detection rate of three kinds of cancer after the introduction of stimulation. The detection rate of colon cancer increased by 3.0% per year before the introduction of stimulation (95%CI (2.37%) after the introduction of), was 4.7% (95%CI (3.7%). Since the introduction of incentives, the detection rate of cervical cancer and breast cancer has not changed significantly. From 2006-2007 to 2009-2010, $28.3 million and $50 million were spent on financial incentives for cervical cancer, breast cancer and colon cancer, respectively. Conclusion despite the large financial cost, performance pay plan can hardly improve the detection rate. Decision makers should consider other strategies to increase cancer detection rates.
【作者单位】： 中国石油天然气集团公司中心医院;
【分类号】：R730.4
，
本文编号：2225843
[Abstract]:Objective although performance pay has been widely used, there is little evidence to prove its effectiveness. The study evaluated the correlation between the introduction of performance pay by primary care physicians in Ontario, Canada, and increased cancer detection rates, and identified physician pay as part of the study. Methods the management data were analyzed longitudinally to determine the cancer detection rate and incentive cost for each fiscal year from 1999-2000 to 2009-2010. A piecewise linear regression analysis was used to evaluate whether the trend of cancer detection rate had changed or changed sharply after the introduction of incentives in 2006-2007. The analysis included all Ontario screening for cervical, breast and colon cancer. Results the results showed that there was no significant change in the detection rate of three kinds of cancer after the introduction of stimulation. The detection rate of colon cancer increased by 3.0% per year before the introduction of stimulation (95%CI (2.37%) after the introduction of), was 4.7% (95%CI (3.7%). Since the introduction of incentives, the detection rate of cervical cancer and breast cancer has not changed significantly. From 2006-2007 to 2009-2010, $28.3 million and $50 million were spent on financial incentives for cervical cancer, breast cancer and colon cancer, respectively. Conclusion despite the large financial cost, performance pay plan can hardly improve the detection rate. Decision makers should consider other strategies to increase cancer detection rates.
【作者单位】： 中国石油天然气集团公司中心医院;
【分类号】：R730.4
，
本文编号：2225843
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