新兴的护士计费和报销模式
John M Welton1, Robert Longyear
1Author Affiliations: Professor Emeritus (Dr Welton), University of Colorado College of Nursing, Aurora; and Executive Board Member (Mr Longyear and Dr Welton), Commission for Nurse Reimbursement, New York.
The Journal of nursing administration
|August 9, 2024
概括
在美国,直接收费护理服务是可行的. 新的模型可以识别患者层面的护理成本和干预措施,将护理从房间费用转移到特定服务.
科学领域:
- 医疗保健经济学 医疗保健经济学
- 护理管理的护理管理.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 护士是最大的医疗保健专业人群,占医院成本的很大一部分.
- 目前的护理费用在很大程度上隐藏在每日住宿费和食费中.
- 由于护理服务没有直接收费,这阻碍了成本的准确分配和报销.
研究的目的:
- 探索和推美国护理护理的直接计费和退款模式.
- 开发用于识别和计费护理服务的方法.
- 为了促进对护理捐款的财务认可.
主要方法:
- 对护理护理的历史和近期成本和计费实践的文献综述.
- 综合发现,提出新的计费和退款模式.
- 在医疗保健机构实施可行性分析.
主要成果:
- 提出了两个主要的计费模式: 1) 每天分配每个患者的护理时间,与设施费用分开. 2) 扩大现行程序术语 (CPT) 代码,用于特定的护理活动和干预.
- 这些模型可以识别患者级护理强度和提供的服务.
- 提出的方法适用于所有提供护理服务的环境.
结论:
- 在美国,实施护理护理的直接收费是可行的.
- 拟议的模型允许准确识别护理强度,成本和干预措施.
- 这种转变可以导致对护理服务的更好的财务认可和资源分配.
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