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意外计费在全关节整形术中很常见,并对患者满意度产生负面影响
Orthopedics
|July 29, 2024
概括
接受全关节整形术 (TJA) 的患者中有12%的患者收到意外的医疗费用,这对他们的满意度产生了负面影响. 年龄较大,黑人种族和"无惊喜法"后的手术与收费增加有关.
科学领域:
- 整形外科手术 整形外科手术
- 卫生政策 卫生政策
- 患者的财务经验.
背景情况:
- 接受全关节整形术 (TJA) 的患者容易受到意想不到的医疗费用,通常被称为"意外费用".
- 这些意外的账单可能会给患者带来巨大的财务压力,促使立法行动,如"无意外法案".
- 了解意外收费的普遍性和影响对于改善TJA后患者的财务福祉至关重要.
研究的目的:
- 为了确定在接受TJA的患者中意外医疗费用的发生率.
- 调查意外收费对TJA后患者满意度的影响.
- 为了确定与在TJA后收到惊喜账单相关的预测因素.
主要方法:
- 在接受初级关节整形手术 (THA) 或全膝关节整形手术 (TKA) 的患者中进行了回顾性研究.
- 患者填写了问卷,详细介绍了他们对惊喜账单的经验以及它们对手术满意度的影响.
- 采用多变量物流回归分析来确定意外计费的独立预测因素.
主要成果:
- 12%的TJA患者报告至少收到了一个惊喜账单.
- 最常见的意外账单来源是手术设施 (48%) 和麻醉提供者 (36%).
- 年龄较大,黑人种族以及在"无惊喜法"实施日期 (2022年1月1日) 之后进行的手术是惊喜计费的重要预测因素. 收到惊喜账单的患者报告说,他们对手术的满意度明显降低 (P=.002).
结论:
- 意外收费仍然是TJA患者的一个担忧,对他们的满意度产生不利影响.
- 虽然外科医生无法直接控制手术后的计费,但加强患者沟通和有关计费流程的教育可以提高患者的满意度和医生与患者的关系.
- 进一步的研究可能会探索系统解决方案,以减轻TJA的意外收费.
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