没有好处的负担:先前授权在先天性心脏病学
Brian S Marcus1,2, Neha Bansal3, Joshua Saef4,5
1Pediatric Cardiology, Yale School of Medicine, 205 Church Street, New Haven, CT, USA. brianmarcusmd@gmail.com.
Pediatric cardiology
|September 26, 2023
概括
在成人先天性和儿科心脏病学 (ACPC) 中,事先授权造成了巨大的行政负担和护理延误. 这一过程不成比例地影响弱势群体,应该消除ACPC患者.
科学领域:
- 心脏病学 心脏病学
- 卫生政策 卫生政策
- 医疗保健管理部门的管理.
背景情况:
- 预先授权是医疗保险批准医疗服务的过程.
- 由于患者的复杂需求,它经常用于成人先天性和儿科心脏病学 (ACPC).
- 这个过程往往会导致行政负担和患者护理延误.
研究的目的:
- 突出ACPC中事先授权的行政和临床负担.
- 倡导取消ACPC患者的事先授权.
- 讨论事先授权对护理不平等的影响.
主要方法:
- 文献审查和对ACPC事先授权流程的分析.
- 检查临床护理团队的行政负担.
- 评估患者护理延迟和对弱势群体的影响.
主要成果:
- 在ACPC中,事先授权很少被拒绝,但会带来大量的行政工作负担.
- 这一过程导致获得必要的诊断,手术和药物的延迟.
- 预先授权加剧了现有的护理不平等,不成比例地影响妇女,少数民族和低收入群体.
结论:
- 预先授权对ACPC的常规和复杂护理造成了不必要的负担.
- 这个过程导致护理延迟,并加剧了健康不平等.
- 建议取消ACPC患者的预先授权,以改善患者护理并减少行政压力.
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