{"id":35227,"date":"2021-10-05T09:50:49","date_gmt":"2021-10-05T13:50:49","guid":{"rendered":"https:\/\/gffklportal.org\/?post_type=knowledge&#038;p=35227"},"modified":"2023-11-20T09:25:09","modified_gmt":"2023-11-20T14:25:09","slug":"capitation-combined-with-pay-for-performance-improves-antibiotic-prescribing-practices-in-rural-china","status":"publish","type":"knowledge","link":"https:\/\/gffklportal.org\/fr\/knowledge\/capitation-combined-with-pay-for-performance-improves-antibiotic-prescribing-practices-in-rural-china\/","title":{"rendered":"Capitation Combined with Pay-for-Performance Improves Antibiotic Prescribing Practices in Rural China"},"content":{"rendered":"<p>[La capitation combin\u00e9e \u00e0 la r\u00e9mun\u00e9ration bas\u00e9e sur la performance am\u00e9liore les pratiques de prescription d&#8217;antibiotiques dans les r\u00e9gions rurales de la Chine.]<\/p>\n<p>La r\u00e9mun\u00e9ration bas\u00e9e sur la performance dans le domaine de la sant\u00e9 est un levier prometteur de politique visant \u00e0 am\u00e9liorer la qualit\u00e9 et l&#8217;efficacit\u00e9 des soins. Bien que l&#8217;approche soit devenue de plus en plus populaire dans les pays en voie de d\u00e9veloppement ces derni\u00e8res ann\u00e9es, la plupart des conceptions de politique ne permettent pas une \u00e9valuation rigoureuse de son impact. Par cons\u00e9quent, les preuves de son effet sont limit\u00e9es. En collaboration avec le gouvernement de la province de Ningxia, une r\u00e9gion essentiellement rurale du nord-ouest de la Chine, nous avons men\u00e9 une exp\u00e9rience randomis\u00e9e en grappes par paires appari\u00e9es entre 2009 et 2012, afin d&#8217;\u00e9valuer les effets de la capitation avec r\u00e9mun\u00e9ration bas\u00e9e sur la performance sur les pratiques de prescription d&#8217;antibiotiques des prestataires de soins primaires, les d\u00e9penses de sant\u00e9, le volume des visites en consultation externe et la satisfaction des patients.<\/p>\n<p>Nous avons constat\u00e9 que l&#8217;intervention a entra\u00een\u00e9 une r\u00e9duction d&#8217;environ 15% des prescriptions d&#8217;antibiotiques et une l\u00e9g\u00e8re r\u00e9duction des d\u00e9penses totales par visite aux postes de village &#8211; essentiellement des cliniques de sant\u00e9 communautaire. Nous n&#8217;avons pas constat\u00e9 d&#8217;effet sur les autres r\u00e9sultats. Nos r\u00e9sultats sugg\u00e8rent que la capitation avec r\u00e9mun\u00e9ration bas\u00e9e sur la performance peut am\u00e9liorer les pratiques de prescription de m\u00e9dicaments, en r\u00e9duisant la surprescription et la prescription inappropri\u00e9e. Notre \u00e9tude montre \u00e9galement que des \u00e9valuations rigoureuses des interventions sur les syst\u00e8mes de sant\u00e9 sont r\u00e9alisables lorsqu&#8217;elles sont men\u00e9es en \u00e9troite collaboration avec le gouvernement.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[La capitation combin\u00e9e \u00e0 la r\u00e9mun\u00e9ration bas\u00e9e sur la performance am\u00e9liore les pratiques de prescription d&#8217;antibiotiques dans les r\u00e9gions rurales de la Chine.] La r\u00e9mun\u00e9ration bas\u00e9e sur la performance dans le domaine de la sant\u00e9 est un levier prometteur de politique visant \u00e0 am\u00e9liorer la qualit\u00e9 et l&#8217;efficacit\u00e9 des soins. Bien que l&#8217;approche soit devenue [&hellip;]<\/p>\n","protected":false},"author":70,"featured_media":0,"menu_order":0,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"knowledge_topics":[1301,299,1306,302,384],"knowledge_categories":[],"knowledge_countries":[],"knowledge_tags":[783,575,782],"knowledge_tool_type":[779],"class_list":["post-35227","knowledge","type-knowledge","status-publish","hentry","knowledge_topics-old_fr_technical-topics","knowledge_topics-result-based-financing-fr","knowledge_topics-renforcement-des-systemes-de-sante","knowledge_topics-results-monitoring-fr","knowledge_topics-evaluation-fr","knowledge_tags-evaluation-fr","knowledge_tags-financement-base-sur-les-resultats","knowledge_tags-renforcement-des-systemes-de-sante","knowledge_tool_type-article-fr"],"acf":[],"_links":{"self":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge\/35227","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge"}],"about":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/types\/knowledge"}],"author":[{"embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/users\/70"}],"replies":[{"embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/comments?post=35227"}],"version-history":[{"count":6,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge\/35227\/revisions"}],"predecessor-version":[{"id":38636,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge\/35227\/revisions\/38636"}],"wp:attachment":[{"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/media?parent=35227"}],"wp:term":[{"taxonomy":"knowledge_topics","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_topics?post=35227"},{"taxonomy":"knowledge_categories","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_categories?post=35227"},{"taxonomy":"knowledge_countries","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_countries?post=35227"},{"taxonomy":"knowledge_tags","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_tags?post=35227"},{"taxonomy":"knowledge_tool_type","embeddable":true,"href":"https:\/\/gffklportal.org\/fr\/wp-json\/wp\/v2\/knowledge_tool_type?post=35227"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}