US Employers as Quality Drivers in the Health Sector

McNamara, Peggy

World Bank, Washington, DC

关键词: ACCOUNT;    ANESTHESIA;    ASTHMA;    CERVICAL CANCER;    COST CONTAINMENT;   

RP-ID  :  31589

学科分类：社会科学、人文和艺术（综合）

来源: World Bank Open Knowledge Repository

【 摘 要 】

This review is one in a series ofanalytic efforts designed to inform the policy debaterelated to how the purchasing function is being used as aninstrument for quality. The author reviews evidence on theextent of quality-based purchasing by U.S. employers,generally viewed as pivotal to the national push for valuein health care, and summarizes key employer effortsunderway. A typology for categorizing purchaser strategiesis provided. The author examines what is known about theimpact of employer strategies on care delivery and concludeswith a broader discussion of quality approaches.