高性能体育保健提供者的替代性报销模式:利益相关者的经验和看法
Hannah E Carter1, Michelle J Allen2, Liam A Toohey3,4
1Australian Centre for Health Services Innovation and Centre for Healthcare Transformation, Faculty of Health, School of Public Health and Social Work, Queensland University of Technology, 60 Musk Ave, Kelvin Grove, QLD, 4059, Australia. hannah.carter@qut.edu.au.
Sports medicine - open
|July 11, 2023
概括
在高性能体育运动中,有薪的医疗保健提供者提供诸如主动照顾和更好的协作等福利,与收费服务相比. 组织应考虑有薪模式,以改善预防和多学科护理.
科学领域:
- 运动医学 运动医学
- 医疗保健管理的管理
- 基于价值的医疗保健
背景情况:
- 基于价值的医疗保健报销模式是传统的服务费用 (FFS) 的替代方案,以使支付与患者和社会价值保持一致.
- 这项研究探讨了澳大利亚高性能体育运动中利益相关者对FFS的看法与雇佣提供者模式.
研究的目的:
- 调查澳大利亚高绩效体育背景下的不同医疗保健提供者报销系统的利益相关者的看法和经验.
- 为了比较收费服务 (FFS) 和雇佣服务提供者模型.
主要方法:
- 与16个主要利益相关者进行了三次半结构化焦点小组讨论和一次个人采访.
- 参与者包括医疗保健提供者,健康经理,体育经理和执行人员.
- 利用探索,准备,实施,维持 (EPIS) 框架来指导面试过程和主题映射.
主要成果:
- 工资模式被认为比FFS提供了优势,包括积极主动/预防性护理的潜力和加强跨学科合作.
- 有薪提供者可以更深入地了解组织背景和运动员优先事项.
- 薪资模式面临的挑战包括,如果容量不足,就有反应性护理的可能性,以及量化价值的困难.
结论:
- 对于高绩效的体育组织,建议提供有薪提供者安排,旨在加强初级预防和多学科护理.
- 建议进行进一步的前性实验研究来验证这些发现.
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