成本透明度计算器的好处并不延伸到血管外科患者
Alexandra Tedesco1, Joshua A Bloom1, Jessica Lee2
1Department of Surgery, Tufts Medical Center, Boston, MA.
Annals of vascular surgery
|July 14, 2023
概括
由CMS授权的医院定价工具为血管手术患者提供了很少的成本透明度. 这种缺乏信息阻碍了财务准备,并限制了患者对AVF和EVAR等手术的选择.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生经济学 卫生经济学
- 血管外科 血管外科
背景情况:
- 医疗保险和医疗补助服务中心 (CMS) 在2021年授权医院价格透明度工具.
- 这些工具旨在通过揭示医疗保健成本并使预算有意识的选择来赋予患者权力.
- 这些工具对于血管外科手术患者的实用性仍然在很大程度上未经检查.
研究的目的:
- 对血管外科手术患者的强制性医院定价工具的有效性进行评估.
- 通过这些在线工具来确定血管外科手术程序成本的程度.
主要方法:
- 在"新闻周刊"美国50大医院排行榜上搜索患者费用计算器.
- 研究了动脉静脉 (AVF) 修复,静脉静脉手术和内血管动脉瘤修复 (EVAR) 的定价可用性.
主要成果:
- 所有50家医院都有可访问的在线成本估计器,平均在33.27秒内找到.
- 只有10%提供了AVF成本,12%的静脉静脉成本和0%的EVAR成本.
- 平均预保险价格:AVF$11,933.61,静脉瘤$22,191. 平均预保险价格:AVF$11,933.61,静脉瘤$22,191. 没有发现区域差异.
结论:
- 医院遵守CMS的定价工具授权,但对于血管外科手术患者来说,内容不足.
- 血管外科手术患者缺乏关键的财务数据,阻止了知情决策和基于价格的程序选择.
- 医院应该扩大成本计算器的范围,包括血管外科服务,以获得全面的患者利益.
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