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Las opiniones de los médicos estadounidenses sobre el control de los costos de la atención médica
Jon C Tilburt1, Matthew K Wynia, Robert D Sheeler
1Division of General Internal Medicine, Mayo Clinic, Rochester, Minnesota 55905, USA. tilburt.jon@mayo.edu
JAMA
|August 7, 2013
Resumen
Los médicos estadounidenses reconocen cierta responsabilidad por los costos de la atención médica y apoyan las iniciativas de calidad. Sin embargo, muestran menos entusiasmo por los cambios en los modelos de pago destinados a contener los costos.
Área de la Ciencia:
- Economía de la salud economía de la salud.
- Políticas médicas y políticas médicas.
- Comportamiento del médico.
Sus antecedentes:
- Las perspectivas de los médicos sobre los costos de la atención médica son cruciales para la reforma de las políticas.
- Comprender las actitudes de los médicos es clave para desarrollar estrategias efectivas de contención de costos.
Objetivo del estudio:
- Para evaluar las actitudes de los médicos estadounidenses hacia los costos de la atención médica.
- Determinar el papel percibido de los médicos en abordar y reducir los gastos de atención médica.
Principales métodos:
- Se distribuyó una encuesta transversal a 3897 médicos estadounidenses.
- La encuesta evaluó el entusiasmo por las estrategias de contención de costos y la conciencia de costos.
Principales resultados:
- La mayoría de los médicos creían que otras partes interesadas (abogados, aseguradoras, hospitales, fabricantes, pacientes) comparten la mayor responsabilidad en la reducción de costos.
- Los médicos expresaron su entusiasmo por promover la continuidad de la atención y limitar los tratamientos marginalmente beneficiosos.
- Pocos médicos estaban a favor de eliminar los modelos de pago por servicio; sin embargo, la mayoría estuvo de acuerdo en la necesidad de limitar las pruebas innecesarias.
Conclusiones:
- Los médicos estadounidenses reconocen su papel en la contención de costos y apoyan iniciativas centradas en la calidad.
- Los médicos demostraron menos apoyo a las medidas de contención de costos que implican cambios significativos en los modelos de pago.
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