功能性发作诊所:一种针对神经科医生供需不匹配的经济可行解决方案
Meagan M Watson1, Wesley T Kerr1, Meagan Bean1
1Department of Neurology (MMW, MB, LS), University of Colorado, Aurora; and Department of Neurology (WTK), University of Michigan, Ann Arbor.
Neurology. Clinical practice
|August 2, 2023
概括
实施功能性发作 (FS) 诊所可以改善治疗的准入和财政状况. 这种多学科的方法使新患者的访问增加了15.5%,提高了神经科医生对患者的能力.
科学领域:
- 神经学 神经学
- 医疗保健管理的管理
- 患者访问 患者访问
背景情况:
- 到2025年预计的神经科医生短缺将影响41个州.
- 功能性发作 (FS),以前的心理性非发作,应变性临床资源.
- 一个专门的FS诊所可以优化患者的护理服务.
研究的目的:
- 调查一个多学科的FS诊所的财务影响.
- 评估改善患者获得护理的机会.
- 评估FS患者与一般诊所的分离情况.
主要方法:
- 对156名被转诊到综合FS诊所的患者进行了观察后期研究.
- 模拟影响病部门的访问 (NPV,RPV) 和财务 (wRVU,报销).
- 数据来自第三级护理中心收集的.
主要成果:
- 在FS诊所产生了343个新患者访问 (NPV),102,000美元的退款和1200个wRVU.
- 在FS诊所协助686回归患者访问 (RPVs),103,000美元的报销,和1,320 wRVUs.
- 343个NPV代表了诊所可用的新患者位每两年增加15.5%.
结论:
- 整合一个FS诊所是经济可行的,并改善了获得治疗的机会.
- 专门的FS治疗增加了可能患者的容量.
- 提供了一个建立FS服务的框架,以解决神经科医生短缺的问题.
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