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在美国胸部外科医生中,超额的腹腔切除术计费的变化
Brian Mitzman1,2, Xuechen Wang3, Ben Haaland3,4
1Division of Cardiothoracic Surgery, University of Utah Health, Salt Lake City, UT, USA. brian.mitzman@hsc.utah.edu.
Annals of surgical oncology
|July 26, 2023
概括
在全国范围内,医生对最小侵入性叶片切除术的收费有很大差异. 诸如外科医生的性别,实践环境和地区等因素会影响费用,突出显示医疗保健成本需要更大的透明度.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
- 外科手术计费的使用情况
背景情况:
- 美国的医生计费做法缺乏透明度,导致收费差异很大.
- 患者可能会因不一致的供应商计费而承担过度费用.
- 这项研究检查了医疗保险对最少侵入性脑膜切除术的计费,以了解国家实践,并确定成本预测因素.
研究的目的:
- 评估医疗保险的费用和支付视频辅助胸腔镜腔切除术的费用.
- 确定外科医生中较高收费实践的预测因素.
主要方法:
- 利用2018年医疗保险提供者利用数据来识别执行视频辅助胸腔镜切除术的外科医生.
- 收集的人口变量:地理区域,实践年数,实践环境.
- 采用多变量玛回归来分析高收费的预测因素.
主要成果:
- 307家提供商提交了从1,104美元到25,128美元 (中位数为4,265美元) 的费用.
- 医疗保险支付的范围从163美元到1,409美元 (中位数为1,056美元).
- 男性外科医生,学术机构和东北地区的实践地点与更高的费用有关 (p < 0.01).
结论:
- 在美国各地的医生计费实践中存在显著差异.
- 医疗保险费用可能反映了所有付款人的整体提供者计费.
- 了解真正的医疗保健成本对患者至关重要,提供者应考虑适当的费用.
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