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Patient-centered Care01:13

Patient-centered Care

2.0K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

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The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

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The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
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Standards of Care II01:19

Standards of Care II

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Nurses bear specific legal responsibilities under several federal statutes, including:
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Standards of Care I01:22

Standards of Care I

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Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
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相关实验视频

Updated: Jul 1, 2025

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

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学术支付模式:护理和覆盖范围

Erika D Harness1, Zachary N Goldberg1,2, Yash B Shah1

  • 1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Population health management
|March 5, 2024
PubMed
概括

在学术医学中,整合护理和保险的学术支付方式正在出现. 这种模式,通常是以医疗服务提供者为主,并利用医疗保险优势,显示了推进基于价值的护理 (VBC) 的潜力.

关键词:
学术支付分支提供商医疗保险优势是什么学术医学是学术医学.护理和覆盖范围和覆盖范围.政策创新 政策创新 政策创新基于价值的护理是基于价值的

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科学领域:

  • 医疗保健管理的管理
  • 医疗保健服务研究 医疗服务研究
  • 学术医学 学术医学

背景情况:

  • 美国医疗保健系统正在寻求改善,以实现五重目标.
  • 改革付款人-提供者关系对于推进基于价值的护理 (VBC) 至关重要.
  • 通过垂直整合整合护理和覆盖的Payvider模型提供了一个潜在的解决方案.

研究的目的:

  • 识别和描述采用Payvider模型的学术医疗机构,称为学术Payviders.
  • 了解美国学术支付系统的流行和结构特征.

主要方法:

  • 评估所有美国医学院协会 (AAMC) 成员的全方位医学院.
  • 纳入标准:通过付款人伙伴关系或所有权提供医疗护理和保险覆盖.
  • 识别符合这些标准的系统.

主要成果:

  • 从171个AAMC会员项目中确定了25个学术支付系统.
  • 大多数系统是在2009年 (n=20) 之后创建的,并使用了供应商主导模式 (n=17).
  • 医疗保险优势是提供的主要计划 (n=23).

结论:

  • 学术支付机构的兴起可能受到"平价医疗法案"的影响,医疗保健整合,并专注于健康的社会决定因素 (SDOH).
  • 这一运动可以推动学术医学向更大的VBC采用.
  • 潜在的进步包括医疗教育,住院资源管理和行政领导方面的创新.