英译中,医疗服务费用专业.

英译中,医疗服务费用专业.
Many health insurance plans now include some “pay for performance” elements in their reimbursement systems,and both public and private plans are in the process of implementing more extensive steps.A number of studies have evaluated these reforms,with suggestive but not consistent evidence of an effect on costs (reviews include McKethan,Shepard,Kocot,Brennan,Morrison,and Nguyen,2009; Stanford–University of California San Francisco Evidence-based Practice Center,2004).
For example,in 2003,a Medicare demonstration program involving a system of nonprofit hospitals introduced additional payments of up to 2 percent tied to performance on a set of 33 clinical measures for five common chronic diseases,including the percentage of patients with heart attacks who received aspirin promptly,the percentage of patients with pneumonia who were assessed for oxygen status,and
other “process” measures.The demonstration showed significant improvements in most measured aspects of performance after the pay-for-performance program was implemented (Premier,2007; Lindenauer et al.,2007).However,trend comparisons with hospitals that reported on quality without a pay-for-performance program showed that most of this effect was associated with underlying time trends and not pay-for-performance per se.Moreover,while the payment reform appeared
to reduce some hospital complications that could be costly,an effect on overall patient costs was hard to detect,especially after subtracting the costs of the incentive payments (Rosenthal,Frank,Li,and Epstein,2005).

现在许多健康保险计划包括一些“按效果付费的“元素在他们的补偿系统,包括公共与私人计划在实施过程中更广泛的步骤.大量的研究评价了这些改革,但不一致的证据暗示影响成本(回顾,包括McKethan·谢菲尔德,Kocot,陶片,莫里森,阮,2009分;Stanford-University旧金山加州循证实践中心,2004年).
　　例如,在2003年,一个杂志,一个医疗系统的演示程序包括了一个非营利医院引入附加支付2%的性能与一套临床措施33五个常见的慢性疾病,包括患者的百分比与心脏病发作接受阿司匹林及时,患者的百分比与肺炎被用于评价氧状况的人,和
　　其他“过程”的措施.展示有显著的改善方面的大多数演出后的测量按效付费演出后的计划执行(英超,2007分;Lindenauer王汝成等,2007).然而,报告显示的趋势比较医院质量没有按效付费方案的效果表明,大多数潜在时间趋势相关,而不是按效付费本身.此外,支付改革出现了
　　一些医院并发症减少可能付出的代价是昂贵的,一个总成本是影响患者难以被发现,尤其是扣除的费用激励支付(罗森塔尔,弗兰克,李,爱普斯坦,2005).

名字我看了好久才懂,一开始还以为是我不会的