在COVID-19大流行期间,CPC+如何支持患者护理:替代支付模式的教训
Genna Cohen1, Nancy Duda2, Katie Morrison Lee1
1Mathematica 1100 1st St NE 12th Floor Washington, DC, 20002-4221, USA.
Healthcare (Amsterdam, Netherlands)
|April 11, 2024
概括
综合初级保健加 (CPC+) 模式的参与者发现,它有助于他们在COVID-19期间满足患者需求. 这种提前支付模式显示,初级保健实践的好处超过风险.
科学领域:
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
- 其他替代支付模式
背景情况:
- 初级保健实践迅速适应了COVID-19大流行.
- 关于先进的替代支付模式如何影响大流行期间的护理服务的研究有限.
研究的目的:
- 检查参与综合初级保健加 (CPC+) 模式如何影响实践在COVID-19大流行期间满足患者护理需求的能力.
- 了解医生和实践者对CPC+在流行病期间的看法.
主要方法:
- 在2021年CPC+模型中调查了2496家实践和993名医生.
- 关于CPC+对大流行病护理服务的影响的封闭式和开放式调查问题的分析.
- 对声明的同意评价:由于CPC+参与",在冠状病毒流行期间更好地满足患者的护理需求".
主要成果:
- 一半的实践和三分之一的医生同意CPC+更好地定位他们应对大流行病的护理需求.
- 关键的促进者包括护理管理,远程医疗,无费服务支付和人员支持.
- 一个显著的少数人不同意或是中立的,表明不同的经验.
结论:
- 大多数CPC+参与者在COVID-19大流行期间感知到该模型的好处.
- 在公共卫生危机期间,像CPC+这样的替代支付模式在初级保健方面显示出更多的优点而不是缺点.
- 调查结果表明,超越服务费的支付改革有价值,以提高初级保健的弹性.
相关概念视频
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...
2.0K
Methods of Documentation VI: Case Management Model
570
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...
For example, a patient with a chronic...
570
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Introduction To Health Care Delivery System
2.7K
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...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
2.7K
Methods Of Healthcare Delivery System
3.3K
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...
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...
3.3K
Specialized Care Centers and Settings-II
722
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
722


