放射学中的人口健康管理:经济考虑
Farouk Dako1, Tessa Cook2, Hanna Zafar3
1Director of the Center for Global and Population Health Research in Radiology, Department of Radiology, Senior Fellow, Leonard Davis Institute of Health Economics, University of Pennsylvania Perelman School of Medicine, Philadelphia, Pennsylvania.
Journal of the American College of Radiology : JACR
|August 19, 2023
概括
人口健康管理 (PHM) 对于改善美国的健康结果和降低成本至关重要. 放射学在PHM中发挥着关键作用,通过护理协调和适当的成像,适应新的支付模式.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 放射学 放射学是一门学科.
- 卫生经济学 卫生经济学
背景情况:
- 尽管医疗保健支出高,但美国面临着糟糕的健康结果.
- 人口健康管理 (PHM) 旨在改善人口健康,降低医疗保健利用率和成本.
- 放射学在PHM中的作用正在扩大,包括护理协调,二次预防和适当的成像.
研究的目的:
- 讨论PHM的经济考虑.
- 分析不断变化的医疗保健付费者环境.
- 将PHM策略与基于价值的护理原则保持一致.
主要方法:
- 审查当前的美国医疗保健支付者格局,包括服务费和替代支付模式.
- 医疗保健支付学习和行动网络框架的分析.
- 从雇主和政府的角度研究基于价值的护理原则.
主要成果:
- 美国医疗保健系统正在向替代支付模式过渡.
- 基于价值的护理需要感知价值有利于最终付款人 (雇主,政府).
- 了解付款人的观点对于设计可持续的PHM实践模型至关重要.
结论:
- 可持续的PHM模型必须考虑雇主和政府的经济驱动因素和观点.
- 放射学在PHM的整合需要适应不断变化的支付结构.
- 将PHM举措与以价值为基础的护理原则相协调,对于成功至关重要.
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