放射学中"一次性事件"的流行:基于事件的替代支付模式对放射学的影响.
Eric W Christensen1, Casey E Pelzl2, Elizabeth Y Rula3
1Economic and Health Services Research, Harvey L. Neiman Health Policy Institute, Reston, VA; Health Services Management, University of Minnesota, St. Paul, MN.
Current problems in diagnostic radiology
|September 13, 2023
概括
诊断成像研究中的很大一部分是非事件性或一次性事件,挑战基于价值的报销模式. 这突显了目前放射科医生非患者面对面的工作支付框架中的差距.
科学领域:
- 放射学 放射学是一门学科.
- 卫生经济学 卫生经济学
- 医疗信息学 医疗信息学
背景情况:
- 基于价值的报销模式越来越多地被采用,但它们对放射科医生等非患者面临的专家的适用性尚不清楚.
- 诊断放射学通常涉及非插曲性护理,定义为一次性事件,可能不适合插曲性测量工具.
研究的目的:
- 为了确定非情节性或一次性诊断成像事件的流行率.
- 评估这种患病率如何因身体区域和服务地点而异.
主要方法:
- 一项回顾性研究分析了来自大型商业付款人数据库 (2015-2019) 的诊断成像.
- 一次性事件被定义为在12个月内在同一身体区域没有进一步研究的成像研究,使用了另一种严格的定义.
- 患病率按整体计算,按身体区域计算,按服务地点计算.
主要成果:
- 一次性事件占诊断成像研究的33.2%-45.8%.
- 患病率因身体区域而异,心脏成像最高 (80.9%-87.7%),胸部成像最低 (26.8%-35.2%).
- 一次性事件的比例在住院 (12.9%-29.1%) 和长期护理 (18.6%-30%) 环境中最低.
结论:
- 诊断放射学工作负载的很大一部分是由一次性事件组成的.
- 当前的情节性测量工具和基于价值的支付模式可能无法充分涵盖放射科医生的工作.
- 需要进一步考虑,以适应放射学中非插曲性护理的报销策略.
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