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相关实验视频

Updated: Jul 6, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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实施患者驱动支付模式 - - 从熟练护理机构管理人员的角度来看.

Zhanqin Liu1, Amy Meehan2, Joan F Brazier2

  • 1Harvard University T.H. Chan School of Public Health, Boston, MA, USA.

Journal of applied gerontology : the official journal of the Southern Gerontological Society
|January 4, 2024
PubMed
概括

熟练护理设施 (SNF) 管理人员通过专注于员工培训和承认新的激励措施,为患者驱动支付模式 (PDPM) 做好了准备. 对护理质量和补偿的长期影响需要持续监测.

关键词:
机构护理 机构护理养老院的管理人员.患者驱动的支付模式政策 政策 政策 政策

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科学领域:

  • 医疗保健管理的管理
  • 卫生经济学 卫生经济学
  • 老年医疗护理 医疗护理

背景情况:

  • 患者驱动支付模式 (PDPM) 是一项重要的医疗保险支付改革,用于2019年10月实施的熟练护理设施 (SNF).
  • 了解管理员的观点对于评估这种支付系统变化的影响至关重要.

研究的目的:

  • 探索SNF管理员对其PDPM的准备和初始实施的回顾性观点.
  • 在PDPM过渡期间确定SNF在PDPM过渡期间使用的策略.

主要方法:

  • 对156次采访进行了定性分析,这些采访涉及美国八个市场40家SNF的管理人员.
  • 追溯审查管理员的经验和对PDPM的准备.

主要成果:

  • 管理员表示,他们对PDPM的实施做好了充分准备.
  • 准备工作包括员工培训患者评估和文档,并认识到复杂患者入院的激励因素.
  • 治疗人员的变化主要影响合同员工,对SNF雇佣的治疗师的影响较小.

结论:

  • 支付改革的财政激励措施需要仔细考虑对护理质量和获得护理的长期影响.
  • 报销结构应与提供高质量的SNF服务的实际成本保持一致.
  • 建议持续监测PDPM对SNF护理质量和患者接入的影响.