谁参与了基于价值的护理模式? 医生特征和对基于价值的护理的影响
Debra R Winberg1,2, Matthew C Baker1, Xiaochu Hu1
1Health Care Affairs, Association of American Medical Colleges, Washington, DC 20001, United States.
Health affairs scholar
|August 5, 2024
概括
大多数医生参与基于价值的护理 (VBC) 模型,但参与程度因专业而异. 初级保健医生比专家更有可能加入VBC,这表明需要政策解决方案的差距.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健经济学 医疗经济学
- 医疗实践管理 医疗实践管理
背景情况:
- 传统的服务费模式正在被基于价值的护理 (VBC) 支付模式所取代.
- 了解医生参与VBC对于医疗改革至关重要.
- 医生的特点会影响他们参与新的支付结构.
研究的目的:
- 量化医生特征与参与VBC支付模式之间的关系.
- 为了确定哪些医生专业更可能或不太可能参与VBC.
- 为提高跨专业的VBC采用的政策建议提供信息.
主要方法:
- 利用了2022年美国医学院协会对医生的全国样本调查.
- 使用后勤回归分析来评估与VBC参与的关联.
- 检查了参与负责任的护理组织,初级保健第一,资本化和捆绑支付.
主要成果:
- 大多数被调查的医生参与了至少一个VBC模型.
- 医生的专业是VBC参与的重要预测因素.
- 与初级保健医生相比,医院医生,医疗专家,精神科医生和外科医生在VBC模型中的参与率较低.
结论:
- 在VBC模型中,初级保健医生和各种专业小组之间存在着显著的参与差距.
- 特定的VBC模型显示专业之间的差异性吸收,一些专家更有可能加入某些捆绑支付.
- 政策干预是必要的,以鼓励更广泛的专家参与以价值为基础的护理,以与医疗保健系统的目标保持一致.
相关概念视频
Ethics and Bioethics
1.3K
Ethics is a philosophical study of moral actions. Ethics attempts to determine what is valuable for individuals and society. It examines the rational justification of moral judgments and analyzes what is morally just, fair, and right. Bioethics is a sub-discipline of applied ethics that analyzes the philosophical, social, and legal issues in life sciences and medicine. Ethical theories serve as a foundation for decision-making and represent the viewpoints from which people seek direction. They...
1.3K
Methods of Documentation VI: Case Management Model
564
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...
564
Patient-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
Introduction 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
Ethical Issues
883
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
883
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


