Economía La economía es la economía
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Combining Behavioral Endocrinology and Experimental Economics: Testosterone and Social Decision Making
Published on: March 2, 2011
1Georgetown University Medical Center, Washington, DC.
JAMA
|June 1, 1994
Resumen
Los ingresos de los médicos crecieron más rápido que el promedio de los ingresos de los trabajadores estadounidenses antes de 1989. Las bajas tasas de reembolso de Medicaid no restringieron el acceso a la atención básica del paciente, y otros pagadores están adoptando Medicare.
Área de la Ciencia:
- Economía de la salud economía de la salud.
- Políticas médicas y políticas médicas.
Sus antecedentes:
- El crecimiento de los ingresos reales de los médicos superó el promedio de ingresos de los trabajadores estadounidenses antes de 1989.
- Las tasas de reembolso de Medicaid y su impacto en el acceso de los pacientes a la atención son una preocupación clave.
- La adopción generalizada de la escala de valor relativo basado en recursos (RBRVS) de Medicare por parte de otros pagadores es una tendencia significativa.
Objetivo del estudio:
- Para analizar las tendencias en los ingresos reales de los médicos en relación con otros trabajadores estadounidenses.
- Investigar la relación entre las bajas tarifas de Medicaid y el acceso de los pacientes a un nivel mínimo de atención.
- Examinar la adopción de la escala de valor relativo basado en recursos (RBRVS) por parte de los contribuyentes no incluidos en Medicare.
Principales métodos:
- Análisis comparativo de ingresos utilizando datos históricos.
- Evaluación del acceso del paciente a la atención en relación con los niveles de cuotas de Medicaid.
- Encuesta o análisis de los modelos de pago adoptados por varios pagadores de atención médica.
Principales resultados:
- Los médicos experimentaron un mayor crecimiento de los ingresos reales que el promedio de los trabajadores estadounidenses antes de 1989.
- Las bajas tarifas de Medicaid no parecen impedir el acceso a un estándar básico de atención.
- Numerosos pagadores más allá de Medicare están implementando el sistema de pago de la escala de valor relativo basado en recursos (RBRVS).
Conclusiones:
- Las tendencias de la compensación médica mostraron una divergencia con respecto a las ganancias promedio de los trabajadores antes de 1989.
- Los niveles de tarifas de Medicaid pueden no ser una barrera primaria para el acceso a la atención médica esencial.
- La escala de valor relativo basado en recursos (RBRVS) se está convirtiendo en una metodología de pago prevalente en toda la industria de la salud.
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