预先授权对临床实践和患者护理成果的影响:AAAAI预先授权工作组工作组的报告
Jonathan A Bernstein1, Deepthi Gadde2, Mohamed Yassin3
1College of Medicine, Division of Rheumatology, Allergy, and Immunology and Bernstein Allergy Group, University of Cincinnati, Cincinnati, Ohio.
概括
预先授权 (PA) 显著影响患者护理,并增加过敏专家的行政负担. 这一过程可能会推迟获得必要的药物和服务,有时会导致患者出现不良事件.
科学领域:
- 过敏和免疫学 过敏和免疫学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 预先授权 (PA) 是医疗保险公司在覆盖某些药物或服务之前要求批准的过程.
- 美国过敏,喘和免疫学学会 (AAAAI) 成立了一个工作组,以解决PA对患者护理及其成员的影响.
研究的目的:
- 评估事先授权对AAAAI成员,他们的员工和患者的影响和负担.
- 收集数据支持需要事先授权改革的需求.
主要方法:
- 一项匿名电子调查分发给美国随机选择的AAAAI会员和研究员.
- 使用描述性统计数据来分析过敏免疫学专家的调查反应.
主要成果:
- 预先授权显著影响了患者的护理服务,并增加了临床实践的行政工作量.
- 在某些情况下,由于延迟获得必要的药物或服务,PA导致了严重的不良事件.
- 医生的处方模式可能会受到不同药物类别的PA要求的影响.
结论:
- 预先授权是一个严重的医疗保健问题,导致资源浪费和患者风险.
- 调查结果支持AAAAI对提前授权改革的建议,以改善患者获得和护理.
相关概念视频
01:13Patient-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
01:15Methods of Documentation VI: Case Management Model
568
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...
568
01:19Standards of Care II
640
Nurses bear specific legal responsibilities under several federal statutes, including:
640
01:27Nursing Clinical Information System
765
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
765
01:18Introduction 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
01:22Standards of Care I
674
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:
674