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Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health care quality is mixed, without conclusive proof that these programs either succeed or fail. Similarly, when patients are shielded from paying (cost-sharing) by health insurance coverage, they are incentivized to welcome any medical service that might do some good. Fee-for-services raises costs, and discourages the efficiencies of integrated care. A variety of reform efforts have been attempted, recommended, or initiated to reduce its influence (such as moving towards bundl

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  • Fee-for-service (en)
  • 행위별수가제 (ko)
  • 按服務收費 (zh)
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  • 행위별 수가제(fee-for-service, FFS)는 의료기관에서 의료인이 제공한 의료서비스 (행위, 약제, 치료재료 등)에 대해 서비스 별로 가격(수가)을 정하여 사용량과 가격에 의해 진료비를 지불하는 제도로 우리나라는 의료보험 도입 당시부터 채택하고 있다. 또한, 행위별수가제의 보완 및 의료자원의 효율적 활용을 위하여 「질병군별 포괄수가제(DRG)」와 「정액수가제(요양병원, 보건기관 등)」도 병행하여 실시하고 있다. 미국특허청은 FFS 모델을 운용하고 있다. (ko)
  • 按服務收費(英語:Fee-for-service,FFS)是一種收費模式,把提供的服務解開,針對其中的每一項服務,單獨計算收費。 在醫療衛生領域,這種模式會激勵醫生提供更多的服務,因為收費是根據醫療的次數,而不是根據醫療最終的品質來做決定。然而,是否能有效改善醫療的品質,則也還沒確切的證據來表明它是成功,或是失敗的。同樣的,當患者的費用是經由醫療保險覆蓋()的時候,就會激勵他們採用任何可能有益的醫療服務,按服務收費的成本因此會增加,把綜合式護理的功效削弱。各界已經嘗試過、建議過、或發動過各種改革措施,企圖把這種支付方式的影響降低(例如轉向捆綁式付款和論人計酬支付等方式)。在論人計酬付費的情況下,醫師沒執行療程(包括必要的程序)的動機,因為他們不會因做這些事而得到額外的報酬。 FFS是美國主要的醫師收費方式。在中,FFS與全國性的定價機制()混合使用,以便達到控制成本的目的。 (zh)
  • Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health care quality is mixed, without conclusive proof that these programs either succeed or fail. Similarly, when patients are shielded from paying (cost-sharing) by health insurance coverage, they are incentivized to welcome any medical service that might do some good. Fee-for-services raises costs, and discourages the efficiencies of integrated care. A variety of reform efforts have been attempted, recommended, or initiated to reduce its influence (such as moving towards bundl (en)
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  • Fee-for-service (FFS) is a payment model where services are unbundled and paid for separately. In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health care quality is mixed, without conclusive proof that these programs either succeed or fail. Similarly, when patients are shielded from paying (cost-sharing) by health insurance coverage, they are incentivized to welcome any medical service that might do some good. Fee-for-services raises costs, and discourages the efficiencies of integrated care. A variety of reform efforts have been attempted, recommended, or initiated to reduce its influence (such as moving towards bundled payments and capitation). In capitation, physicians are not incentivized to perform procedures, including necessary ones, because they are not paid anything extra for performing them. FFS is the dominant method in the United States. In the Japanese health care system, FFS is mixed with a nationwide price setting mechanism (all-payer rate setting) to control costs. (en)
  • 행위별 수가제(fee-for-service, FFS)는 의료기관에서 의료인이 제공한 의료서비스 (행위, 약제, 치료재료 등)에 대해 서비스 별로 가격(수가)을 정하여 사용량과 가격에 의해 진료비를 지불하는 제도로 우리나라는 의료보험 도입 당시부터 채택하고 있다. 또한, 행위별수가제의 보완 및 의료자원의 효율적 활용을 위하여 「질병군별 포괄수가제(DRG)」와 「정액수가제(요양병원, 보건기관 등)」도 병행하여 실시하고 있다. 미국특허청은 FFS 모델을 운용하고 있다. (ko)
  • 按服務收費(英語:Fee-for-service,FFS)是一種收費模式,把提供的服務解開,針對其中的每一項服務,單獨計算收費。 在醫療衛生領域,這種模式會激勵醫生提供更多的服務,因為收費是根據醫療的次數,而不是根據醫療最終的品質來做決定。然而,是否能有效改善醫療的品質,則也還沒確切的證據來表明它是成功,或是失敗的。同樣的,當患者的費用是經由醫療保險覆蓋()的時候,就會激勵他們採用任何可能有益的醫療服務,按服務收費的成本因此會增加,把綜合式護理的功效削弱。各界已經嘗試過、建議過、或發動過各種改革措施,企圖把這種支付方式的影響降低(例如轉向捆綁式付款和論人計酬支付等方式)。在論人計酬付費的情況下,醫師沒執行療程(包括必要的程序)的動機,因為他們不會因做這些事而得到額外的報酬。 FFS是美國主要的醫師收費方式。在中,FFS與全國性的定價機制()混合使用,以便達到控制成本的目的。 (zh)
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