title: [Quality and saving: do they run together?].
abstract: In the healthcare debate, it is often stated that better quality leads to savings. Quality systems lead to additional costs for setting up, running and external evaluations. In addition, suppression of implicit rationing leads to additional costs. On the other hand, they lead to savings by procedures simplification, improvement of patients' health state and quicker integration of new collaborators. It is then logical to imagine that financial incentives could improve quality. First evidences of pay for performances initiatives show a positive impact but also some limitations. Quality and savings are linked together and require all our attention.
authors.affiliation: CHUV, 1011 Lausanne. jbw@chuv.ch
authors.forename: Jean-Blaise
authors.initials: JB
authors.lastname: Wasserfallen
mesh_terms: D001291:Attitude of Health Personnel; D017046:Cost Savings; D006279:Health Maintenance Organizations / Q000191:economics; D006304:Health Status; D006801:Humans; D007407:Interviews as Topic; D009726:Nurses; D010820:Physicians; D011787:Quality of Health Care / Q000191:economics*; D016032:Randomized Controlled Trials as Topic; D012052:Reimbursement, Incentive