今天的医疗保健是明天的医疗保健吗:看看当前的未来支付模式?
Ronald E Delanois1, Jeremy A Dubin1, Sandeep S Bains1
1LifeBridge Health, Sinai Hospital of Baltimore, Rubin Institute for Advanced Orthopedics, Baltimore, Maryland.
The Journal of arthroplasty
|September 8, 2023
概括
关节置换综合护理 (CJR) 模型显示大都市医院的价值和成本节省. 基准财务数据对于完善这种替代支付模式至关重要,以改善患者护理和控制医疗保健支出.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健经济学 医疗保健经济学
- 以价值为基础的护理
背景情况:
- 替代支付模式激励医疗保健提供者专注于价值和质量.
- 关节置换综合护理 (CJR) 计划旨在控制关节置换病例的成本并提高关节置换病例的护理质量.
- 大都会医院在CJR重新设计中显示了改善价值和节省成本的一致发现.
研究的目的:
- 审查关节置换综合护理 (CJR) 计划.
- 为未来对捆绑支付模式的改进提供建议.
- 强调在计划实施之前基本财务状况报告的重要性.
主要方法:
- 对大都会医院中CJR计划的现有调查结果的审查.
- 对基准财务数据的必要性的分析.
- 讨论成功捆绑支付的基本组成部分.
主要成果:
- 在选定的医院中,与CJR重新设计相关的价值改善和成本节约的一致发现.
- 确定基线财务状况作为计划改进的先决条件.
- 强调需要基于证据的协议和跨学科合作.
结论:
- 该CJR计划显示了控制支出和提高护理质量的潜力.
- 准确的基准财务数据对于有效的计划评估和改进至关重要.
- 捆绑支付的未来成功需要强大的协议,结果测量和跨专业的协作护理.
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