编辑评论:增加患者自付费用并没有增加门诊外科手术的价值
Azeem T Malik1, Gregory L Cvetanovich1
1The Ohio State University.
概括
门诊外科手术可以增加患者的费用,由于网络之外的护理和高扣除保险,尽管减少了整体医疗保健支出. 价格透明度对于面临这些财务负担的患者至关重要.
科学领域:
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
- 外科手术的结果
背景情况:
- 基于价值的护理模式激励通过门诊手术降低成本.
- 门诊手术虽然降低了总成本,但可以不成比例地增加患者的自付费用 (POPE).
- 这种POPE的增加被认为对患者来说是不公正和不公平的.
研究的目的:
- 分析导致门诊外科手术中患者自付费用高的因素.
- 倡导降低成本的重点转变,包括患者的财务负担.
- 强调在手术过程中需要价格透明度.
主要方法:
- 审查最近关于医疗保健成本和门诊患者费用的研究.
- 分析导致患者自付费用的因素.
- 检查手术当前的成本控制策略.
主要成果:
- 网络之外的设施,网络之外的外科医生和高扣除率的保险计划是高POPE的关键驱动因素.
- 即使整体手术费用下降,患者的财务负担也会显著增加.
- 现有的节省成本的努力历史上忽视了患者的自付费用.
结论:
- 在门诊外科手术中,解决患者自付费用对于基于价值的公平护理至关重要.
- 实施价格透明度措施至关重要,以告知患者潜在的成本.
- 需要采取平衡的方法来降低整体医疗保健成本和患者的财务负担.
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