Criteria for selection of a payment method for inpatient medical rehabilitation.
This article presents the results of a 3-stage Delphi survey designed to identify the policy criteria that should govern the evaluation of alternative payment methods and guide the selection of a payment method for inpatient medical rehabilitation. The Delphi survey (n = 85) included four groups of participants: consumers (n = 8), providers (n = 35), payers (n = 15), and health services researchers (n = 27). The Delphi survey uncovered 16 evaluation criteria. Delphi participants evaluated each criterion on a 10-point scale (1 = not important; 10 = greatest importance). Respondents value maximize patient/family outcome, maximize access, and maximize efficiency as the three most important criteria. Respondents report that minimize financial risk is the least important criterion. The results from both stage 2 and stage 3 (response rate = 85%) indicate a high level of consensus across the four respondent groups.
Tepper
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NRH Research Center, Medlantic Research Institute, Washington, DC 20016, USA.
DeJong
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G
Wilkerson
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D
Brannon
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R
D003697:Delphi Technique; D006801:Humans; D007297:Inpatients; D006278:Medicare; D012046:Rehabilitation / Q000191:economics*; D012051:Reimbursement Mechanisms; D014481:United States