放射学实践格局的变化和实践巩固的指标从2014年到2023年
Eric W Christensen1,2, YoonKyung Chung1, Elizabeth Y Rula1
1Harvey L. Neiman Health Policy Institute, 1892 Preston White Dr, Reston, VA 20191.
放射学实践正在巩固,更少但更大,更多的多专业小组形成. 这一趋势表明,从规模较小,仅限于放射科的实践转向更大,更综合的医疗保健模式.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 医疗实践管理 医疗实践管理
- 放射学 放射学是一门学科.
背景情况:
- 经济和卫生政策的激励正在推动医疗保健部门的整合,包括医院和医生诊所.
- 这种整合趋势影响了全国医疗实践的结构和组织.
研究的目的:
- 评估到2023年的放射科医生附属实践的整合.
- 分析整合如何影响实践专业组合和规模.
- 评估放射科医生在停止以前的实践后的新归属.
主要方法:
- 利用2014年至2023年的医疗保险数据来识别放射科医生及其附属实践.
- 根据专业组合 (仅放射学与多专业) 和规模进行分类的实践.
- 确定了停止运营的做法,并分析了时间转移以推断合并模式.
主要成果:
- 放射科医生的数量增加了17.3%,而附属诊所从2014年到2023年减少了14.7%.
- 仅放射学实践的显著下降 (-31.8%) 与多专业和更大的组大小的增长形成对比.
- 从小型实践到较大的实践发生了显著的转变 (100+放射科医生增加了348.5%).
结论:
- 放射学实践格局呈现出越来越少,越来越大,越来越多的多专业组的趋势,反映出更广泛的医疗保健整合.
- 这种整合可能会增强分专业化和谈判权力,但可能会影响放射科医生的自主权.
- 转变可能受到经济激励的影响,有利于更大,多专业的实践模式.
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