Question

再帮我翻译一些吧，谢谢了先！~~~~~~

2.Outcomes can be incorporated into the payment structure to link payment with effects of care.payments ,either in the form of bonuses and penalties or as a more fundamental part of the payment structure,can be used to reward and penalize good and bad outcomes,respectively.(eg,an outcome approach might use a factor reflecting the overall achieved/expected ratio for a patient as a multiplier against the costs of care to develop a total price paid for that period of time ;or one might use a similar ratio to weigh the amount of money going to a given provider from a fixed pool of dollars committed to such care .) such an approach mush be viewed carefully within the context of our present case-mix reimbursement scheme for nursing homes ,because the latter indirectly rewards deterioration in function .an outcome approach to payment is compatible with a case-mix approach that is used on admission only.
3.An outcomes approach can be incorporated into the basic caring process. Where the information base used in assessing patients and developing care plans is structured,the emphasis on outcomes can become a proactive force to guide care. Optimally,the information used to assess outcomes will come from the clinical records and will be the same information used to guide care. Using available computer technology,it is now feasible to collect such data,translate them into care plans ,and aggregate these data for quality assurance at minimal additional cost. The great advantage of such a scheme is its potential both to provide a better information base with which to plan care and to reinforce the creative use of such information to achieve improvements in function. Much of the current efforts going into more traditional regulatory activities might be redirected to this effort,with assessors used to validate the assessment and to focus more intense efforts on the miscreants.

Answer 1

2 .Outcomes可以收编到付款结构的影响联系care.payments付款的形式,无论是在加值和惩罚机制或更基本的方支付结构,可用于奖励和处罚好与坏的结果,分别。(如结果的方法可以使用因素反映整个取得预期的病人比例为乘数对成本的护理发展总金额支付那段时间;或者有人可能会用相似的比率来衡量一大笔钱,去给提供从一个固定的池美元。致力于护理这样的方法就被仔细地在其职权范围内我们目前的病例组合还款方案,因为后者护理之家的功能恶化.an奖励间接付款方法结果欠佳配套的方法,是用在入学而已。
3。一个结果的方法可以收编到基本复合工艺。在信息库用于保健计划的伤员和发展结构的关系,重视结果能成为一个积极的力量来引导护理。最理想的情况,信息用于评估结果来自于临床记录和将会是相同的信息用于指导护理。可使用计算机技术,它现在是可行的收集数据,将它们转化为保健计划、聚合这些数据的质量保证最少的额外费用。最大的优势这样的方案是其潜在既能提供一个更好的信息库,用它来计划加强关怀和创造性地利用这些信息功能方面有所改进。许多现在的努力进入更传统的监督管理活动都可能被转到这个努力,与陪审员用于检验评估和更多地关注异端分子上的巨大努力。
相信我

Answer 2

2。结果可以收编到付款结构的影响联系care.payments付款的形式,无论是在加值和惩罚机制或更基本的方支付结构,可用于奖励和处罚好与坏的结果,分别。(如结果的方法可以使用因素反映整个取得预期的病人比例为乘数对成本的护理发展总金额支付那段时间;或者有人可能会用相似的比例

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