对事先授权负担和解决方案的看法.
Nikhil R Sahni1,2, Brooke Istvan3, Celia Stafford4
1Department of Economics, Harvard University, Cambridge, MA, 02138, United States.
预先授权 (PA) 程序给患者,提供者和付款人带来负担. 虽然付款人计划人工智能集成,但由于预算和信任问题,提供商的采用率较低,这阻碍了PA流程的改进.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医疗保健管理部门的管理.
- 医疗信息学 医疗信息学
背景情况:
- 预先授权 (PA) 程序给患者,医疗保健提供者和保险支付人带来了大量的时间和财务成本.
- 尽管有潜在的节约,但PA过程中每个利益相关者群体的具体可操作策略仍然未得到充分探索,导致错过了优化机会.
研究的目的:
- 调查患者,提供者和付款人对事先授权 (PA) 流程的感知负担.
- 评估利益相关者对潜在变化的接受度,包括在PA工作流程中采用人工智能 (AI).
主要方法:
- 在1005名患者,1010名提供者员工和115名私人付款员工中进行了调查.
- 收集的数据主要集中在PA过程中对AI的感知等待时间,批准率,负担和态度.
主要成果:
- 患者经历了最长的等待时间,但报告了最低的感知负担和最高的批准率,主要是由于间接参与.
- 供应商受访者表示,事先授权每年消耗相当于超过10万名注册护士的时间.
- 绝大多数私人付费者 (65%) 计划在3-5年内将AI整合到PA中,与提供商采用意图 (11%) 形成鲜明对比.
结论:
- 付款人比提供商更倾向于采用人工智能进行事先授权 (PA),并将网络安全和基础设施视为障碍.
- 提供商面临预算限制和信任问题,限制了他们对PA的AI采用.
- 解决这些不同的观点和障碍对于在事先授权过程中实现潜在的效率和成本节省至关重要.
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