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International Journal of Health Policy and Management، جلد ۵، شماره ۲، صفحات ۱۲۱-۱۲۳
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Optimisation of Healthcare Contracts: Tensions Between Standardisation and Innovation; Comment on “Competition in Healthcare: Good, Bad or Ugly?” |
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| چکیده انگلیسی مقاله |
An important determinant of health system performance is contracting. Providers often respond to financial incentives, despite the ethical underpinnings of medicine, and payers can craft contracts to influence performance. Yet contracting is highly imperfect in both single-payer and multi-payer health systems. Arguably, in a competitive, multi-payer environment, contractual innovation may occur more rapidly than in a single-payer system. This innovation in contract design could enhance performance. However, contractual innovation often fails to improve performance as payer incentives are misaligned with public policy objectives. Numerous countries seek to improve healthcare contracts, but thus far no health system has demonstrably crafted the necessary blend of incentives to stimulate optimal contracting. |
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| کلیدواژه‌های انگلیسی مقاله |
Healthcare,Competition,Contracts,Innovation,Performance |
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| نویسندگان مقاله |
misja mikkers |
nza, dutch healthcare authority, utrecht, the netherlands
padhraig ryan |
centre for health policy and management, trinity college dublin, dublin 2, ireland
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| نشانی اینترنتی |
http://www.ijhpm.com/article_3117_082bf2d6be8c140f59808f48403de2c6.pdf |
| فایل مقاله |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
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