在美国人中,按人支付和预防性护理之间的关联 大人的成年人
Anna M Morenz1,2, Lingmei Zhou1,2, Edwin S Wong2,3
1Department of Medicine, University of Washington School of Medicine, Seattle, Washington.
AJPM focus
|October 4, 2023
概括
与收费服务相比,资本化支付模式可能会增加接受乳腺和骨质疏松症查的可能性. 然而,这种补偿组合并没有显著影响其他预防护理服务.
科学领域:
- 初级医疗保健医学 一级医疗保健医学
- 医疗保健服务研究 医疗服务研究
- 预防性医疗保健 预防性医疗保健
背景情况:
- 人们越来越感兴趣从服务费转向资本化模式,以加强初级保健和人口健康.
- 了解不同实践补偿组合对提供预防服务的影响至关重要.
研究的目的:
- 调查实践报销模式 (人均与服务费) 与使用常见的预防性查和健康咨询之间的关联.
- 分析2012年至2018年的数据,以确定报销策略是否影响预防性护理的接受.
主要方法:
- 一个回顾性横截面研究,利用国家门诊医疗调查.
- 分析了24,864次对18-75岁没有癌症诊断的患者进行初级保健访问.
- 使用多变量后勤回归来评估报销组合与预防性护理交付之间的关系,控制患者,访问和实践因素.
主要成果:
- 与收费服务模式相比,使用多数资本补偿模式的实践显示,提供乳腺癌查 (AOR=2.11) 和骨质疏松症查 (AOR=4.34) 的可能性明显更高.
- 报销组合与接受其他9项预防护理或健康咨询服务之间没有显著的关联.
结论:
- 基于资本的补偿可能会加强特定的预防性查,如乳腺和骨质疏松症查.
- 资本化对预防护理的影响在所有服务中并不均,这表明它对整体医疗保健提供有微妙的影响.
关键词:
资本化 (英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation,英语:Capitation.替代支付模式 替代支付模式预防性护理 预防性护理补偿初级保健费用 补偿初级保健费用更多相关视频
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