在高收入国家,全关节整形手术的护理流程的变化
Laura Skopec1, Robert A Berenson1, Benedikt Simon2
1Health Policy Center, Urban Institute, Washington, DC 20037, United States.
Health affairs scholar
|May 17, 2024
概括
这项研究没有发现高收入国家的关节整形术 (THA) 医疗保健配给的证据. 美国提供高效的关节置换护理,但成本较高,尽管住院时间较短.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健系统比较研究
- 整形外科手术的结果
背景情况:
- 全关节整形手术 (THA) 是全球常见的选择性手术.
- 人们对普遍医疗保健系统中潜在的医疗保健配给存在担忧,特别是THA等待时间.
- 需要对高收入国家的THA过程进行比较分析.
研究的目的:
- 探索和比较美国和其他六个高收入国家的关节整形术 (THA) 护理流程.
- 调查THA的资格标准,等待时间,决策过程,术后护理和支付政策.
- 评估普遍保险系统中医疗保健配给的索赔.
主要方法:
- 采用了一种新的定性研究设计.
- 在七个高收入国家进行了对THA护理过程的比较分析.
- 研究的关键方面包括资格,等待时间,决策,术后护理和支付模式.
主要成果:
- 在研究的高收入国家中,没有证据表明有划分或政府干预THA决策.
- 美国证明了高效的THA护理过程,往往可以在同一天出院.
- 相比之下,德国的THA患者需要更长的住院时间 (7-9天) 和住院康复 (2-3周).
- 美国对THA的每手术支付比其他国家要高得多,尽管住院时间较短.
结论:
- 普遍的医疗保健系统似乎没有量化整体关节整形手术护理.
- 美国表现出高效的THA护理途径,包括同日出院.
- 尽管流程高效,但与同行国家相比,美国对THA的成本要高得多,因此需要进一步调查支付结构和价值.
相关概念视频
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
Traditional Level Of Health Care System
2.7K
The levels of care describe the services provided in the healthcare system. Accordingly, there are six levels of the traditional healthcare system in the US: preventive, primary, secondary, tertiary, restorative, and continuing healthcare. A nurse must understand how the healthcare industry organizes and provides services within these levels of care.
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
The preventive healthcare service includes tests for screening. Preventive health care services include identifying and reducing disease risk...
2.7K
Tertiary Healthcare System
1.8K
Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care...
1.8K
Documentation in Long-Term and Home Healthcare Setting
882
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
882
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
Standards of Care II
641
Nurses bear specific legal responsibilities under several federal statutes, including:
641


