泌尿科医生,放射科医生和高级实践提供者的角色在泌尿放射学程序中的变化
Austin J Lee1, Timothy Campbell1, Carl A Ceraolo1
1Department of Urology, University of Rochester Medical Center, Rochester, New York.
Urology practice
|October 31, 2023
概括
泌尿放射学程序的性能在泌尿科医生和放射科医生之间发生了转变,高级实践提供者 (APP) 显示的变化较小. 从2010年到2021年,在各种泌尿放射学干预中,退款和程序比例发生了显著的变化.
科学领域:
- 泌尿放射学包括以放射学成像为指导的微创手术,用于管理泌尿病状况.
- 分析泌尿放射学中的程序趋势和提供者分布.
背景情况:
- 放射学模式的整合改变了许多泌尿病的管理.
- 了解不同医疗保健提供者在执行这些程序中的不断变化的角色至关重要.
研究的目的:
- 分析随着时间的推移,泌尿科医生,放射科医生和高级实践提供者 (APP) 执行泌尿放射学程序的变化.
- 检查这些供应商集团之间的报销和程序量分配的变化.
主要方法:
- 使用的医疗保险和医疗补助服务中心 2010年至2021年医生/程序总结数据.
- 分析泌尿放射学 当前程序术语代码由泌尿科医生,放射科医生和APP收费.
- 计算并分析了每个提供者类型的总退款和程序计数的百分比变化.
主要成果:
- 在2010年至2021年期间,在大多数泌尿放射学手术中观察到报销分配的显著变化 (P < .001).
- 泌尿病学在脏冷除等手术的报销比例有所下降,而放射学在脏图像的报销比例有所下降.
- 放射学显示,上管安置 (23.6%) 的报销比例增加最多,而APPs对上管更改 (14.2%) 的增加最多.
结论:
- 在提供者类型之间,泌尿放射学程序的性能分布发生了显著的变化.
- 报销和手术比例的重大变化主要在泌尿病学和放射学之间观察到.
- 与泌尿科医生和放射科医生相比,高级实践提供者 (APP) 在他们的程序分配中表现出较小的转变.
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