计费规则 / 全球期影响整部关节整形术后的术后随访实践
Philip P Ratnasamy1, Oghenewoma P Oghenesume1, Peter Y Joo1
1Department of Orthopedics & Rehabilitation, Yale School of Medicine, New Haven, Connecticut, United States of America.
PloS one
|April 18, 2024
概括
全关节整形术 (THA) 后的护理显示,在全球计费期结束后,随访和外科医生的参与显著增加. 这一转变凸显了可能对临床实践模式的计费影响.
科学领域:
- 整形外科手术 整形外科手术
- 医疗保健服务研究 医疗服务研究
背景情况:
- 全关节整形术 (THA) 是一种常见的骨科手术.
- 术后护理和随访对于优化THA后患者的治疗结果至关重要.
- 对于THA的全球计费期通常涵盖了前90个术后天 (约13周).
研究的目的:
- 评估与关节整形术后的随访相关的临床实践模式.
- 在THA后26周内分析评估和管理 (E&M) 代码的时间和频率.
- 为了比较外科医生提供的随访护理与高级实践提供者 (APP) 在全球计费期内和之后.
主要方法:
- 使用PearlDiver M91Ortho数据集识别了77,843个THA病例.
- 检查了THA后26周内E&M代码的发生率和时间.
- 确定后续访问模式,包括提供者类型 (外科医生 vs APP) 和与90天全球计费期相对的时间.
主要成果:
- 随访次数在术后3,7和14周达到峰值.
- 在全球计费期后的第13周和第14周之间,随访次数显著增加 (超过4倍).
- 虽然在前13周73.8%的访问是与外科医生进行的,但在随后的13周中,这一比例增加到86.8% (p<0.0001).
结论:
- 在THA全球计费期结束后,随访次数显著增加,外科医生参与度更大.
- 这些发现表明,计费结构可能会影响临床实践模式和术后护理的提供.
- 了解这些模式对于优化患者管理和THA后的医疗资源分配至关重要.
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