家庭医生作为医疗保险受益人的程序医生
Robert McKenna1, Roderick S Hooker2, Robert Christian3
1Marshall B. Ketchum University, Fullerton, California Remckenna01@gmail.com.
Annals of family medicine
|May 28, 2024
概括
家庭医生 (FPs) 进行的门诊手术越来越少. 从2014年到2021年,尽管医疗保险人口不断增长,但手术减少了33%,FP执行手术减少了36%.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 主要护理是指初级护理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 基于办公室的程序是初级保健实践的关键组成部分.
- 家庭医生 (FPs) 在住院期间培养程序技能,通常是在门诊机构.
- 学术家庭医学委员会 (CAFM) 提供了一份FP应掌握的核心程序清单.
研究的目的:
- 为了确定FP在多大程度上执行CAFM推的程序.
- 分析FP程序量随时间变化的趋势.
- 评估执行这些程序的FP数量的变化.
主要方法:
- 使用医疗保险B部分数据进行的回顾性观察队列研究.
- 修改了医疗保险受益人的CAFM核心程序列表,与当前程序术语 (CPT) 代码相匹配.
- 分析了FP在2021年提交的程序索赔,并比较了2014-2021年的趋势.
主要成果:
- 在2021年,9,410名FP提交了904,278个门诊手术.
- 程序按器官系统分类 (例如肌肉骨,皮肤,肺部).
- 从2014年到2021年,门诊手术减少了33%,FP申请索赔减少了36%.
结论:
- 尽管医疗保险人口不断增长,但FP的数量和他们执行的程序正在下降.
- 潜在的促成因素包括FP实践范围的变化,推模式,任务委托以及对先进实践提供商的使用增加.
- 基于办公室的程序是初级保健的组成部分,在这些趋势中需要进一步分析.
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