関連する実験動画
Updated: Jul 26, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
まとめ
メディケアキャピテーション資金の実証は,不十分な払い戻しによる重大な財務損失を明らかにしました. 調整された一人当たりの平均コストの方法は,主要なリスク要因を考慮することができず,最終的には効率的な医療提供のために持続不可能なことが証明されました.
科学分野:
- 健康経済学とは
- 保健医療政策について
- 公衆衛生は公衆衛生である.
背景:
- 1982年の税制の公平性と財政的責任に関する法律は,医療維持機関 (HMO) と競争力のある医療プラン (CMP) のためのメディケアリスクキャピテーションの資金提供を導入した.
- この資金調達モデルをテストするために,実証プロジェクトが実施されました.
- 最終規則は1985年1月に公表されました.
研究 の 目的:
- メディケアリスクキャピテーション資金の財政的可行性と運用上の課題を評価する.
- 一人当たりの調整平均コスト (AAPCC) 払い戻し法の有効性を評価する.
主な方法:
- ウィスコンシン州マーシュフィールドの28ヶ月の実証プロジェクトの分析.
- 入院データ,財務業績,病院利用率の調査.
- 払い戻しメカニズムとプログラムコストへの影響の検討.
主要な成果:
- マシュフィールドのデモは,総損失が300万ドル (収益の11.6%) を超えた.
- 厳格な利用レビューと入院日数の減少にもかかわらず,連邦政府の補償は不十分でした.
- 入学率は,居住者受益者の37%に達した.
結論:
- 調整された一人当たりの平均費用補償方法は,入学者の選択,満たされていない医療ニーズ,地域的なコストの変動に不十分に対応しています.
- 推定サービス料金費用の95%の払い戻しは,メディケアリスク契約の下で効率的な医療提供システムを維持するのに不十分です.
- デモンストレーションプロジェクトは,財政的持続不可能なため終了されました.
関連する概念動画
01:26Methods Of Healthcare Delivery System
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
01:30Preventive Healthcare Services
Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
01:29Issues And Trends In Healthcare Delivery System
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
01:17Healthcare Agencies II
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
01:15Methods of Documentation VI: Case Management Model
The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic illness...
For example, a patient with a chronic illness...
01:29Documentation in Long-Term and Home Healthcare Setting
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities