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传统医疗保险中的医院医生整合和临床量
Brady Post1, Brent K Hollenbeck2, Edward C Norton3,4
1Department of Health Sciences, Bouve College of Health Sciences, Northeastern University, Boston, Massachusetts, USA.
Health services research
|May 30, 2023
概括
医院整合减少了初级保健医生 (PCP) 的临床量,包括更少的患者和索赔. 虽然专业收入下降,但设施费收入增加,几乎抵消了损失.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医生经济学 医生经济学
- 主要护理医学 医疗保健
背景情况:
- 医院与医生的整合是医疗保健提供中日益增长的趋势.
- 了解其对初级保健医生 (PCP) 临床量的影响对于医疗保健政策至关重要.
- 传统的医疗保险受益者代表着一个重要的患者群体.
研究的目的:
- 评估医院整合对服务传统医疗保险患者的初级保健医生 (PCP) 临床数量的影响.
- 在医院医生整合后,量化关键绩效指标的变化.
主要方法:
- 通过使用2010年至2016年的医疗保险索赔数据,进行了一项全国性的回顾性纵向研究.
- 一项事件研究设计分析了7万名PCP,比较了整合医生与非整合医生.
- 临床体积指标包括索赔,工作相对价值单位 (RVU),收入,患者数量和设施费用.
主要成果:
- 医院整合导致PCP临床体积的统计学上显著下降.
- 工作RVUs减少了7%,患者数量减少了4%,索赔减少了15%以上.
- 专业收入下降了29,165美元,但被设施费收入增加了28,556美元所抵消.
结论:
- 医院医生整合与PCP的临床服务量减少有关.
- 这些减少可能会影响未来的医生服务供应和患者获得初级保健的机会.
- 需要进一步研究医生的时间分配和患者在整合后的访问.
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