美国医生对控制医疗保健成本的看法
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
概括
美国医生承认对医疗保健成本负有一定的责任,并支持质量倡议. 然而,他们对旨在制成本的支付模式变化不那么热情.
科学领域:
- 卫生经济学 卫生经济学
- 医疗政策 医疗政策
- 医生行为 医生行为
背景情况:
- 医生对医疗保健成本的看法对于政策改革至关重要.
- 了解医生态度是制定有效的成本控制策略的关键.
研究的目的:
- 评估美国医生对医疗保健成本的态度.
- 确定医生在解决和减少医疗保健支出方面的感知作用.
主要方法:
- 一项横截面调查分发给3897名美国医生.
- 该调查评估了对成本控制策略和成本意识的热情.
主要成果:
- 大多数医生认为其他利益相关者 (律师,保险公司,医院,制造商,患者) 对降低成本负有主要责任.
- 医生们对促进护理连续性和限制边际有益治疗表达了热情.
- 很少有医生赞成取消服务费支付模式;然而,大多数人都同意需要限制不必要的测试.
结论:
- 美国医生认识到他们在成本控制方面的作用,并支持以质量为重点的倡议.
- 医生对涉及到支付模式重大变化的成本控制措施的支持率较低.
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