相关实验视频
Updated: Jun 4, 2025
10:10
Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
43.1K
在捆绑支付时代,肩部整形术的异常值
Derek Bond1, Calvin H Englert1, Dongseok Choi2
1Department of Orthopaedics and Rehabilitation, Oregon Health & Science University, Portland, OR, USA.
Journal of shoulder and elbow surgery
|December 20, 2024
概括
根据捆绑支付的非退行性原因的肩膀关节整形术导致的成本高于退行性原因. 这表明需要重新评估全肩关节整形术 (TSA/rTSA) 患者的捆绑支付计划.
科学领域:
- 整形外科手术 整形外科手术
- 卫生经济学 卫生经济学
- 医疗保健政策 医疗保健政策
背景情况:
- 综合支付护理改进先进 (BPCIA) 模型涵盖了像全肩关节整形术 (TSA/rTSA) 这样的骨科手术的90天情节.
- 之前的研究还没有完全阐明捆绑支付框架内退行性和非退行性TSA/rTSA之间的成本差异.
研究的目的:
- 为了比较BPCIA模型中的非退行性与退行性指示的TSA/rTSA的90天术后成本.
- 评估非退行性TSA/rTSA对捆绑支付计划的财务影响.
主要方法:
- 在单个学术医疗中心根据BPCIA模型进行TSA/rTSA的100名患者的回顾性审查 (2018年10月 - 2022年12月).
- 对90天的术后费用进行分析,重点关注非退行性和退行性指示之间的差异.
- 计算平衡比率来量化成本差异.
主要成果:
- 非退行性TSA/rTSA病例更频繁地超过捆绑支付目标 (43%对18%,P = .021).
- 在非退行性病例中观察到更高的总成本 (27100美元与22200美元相比,P = .014) 和更多的急诊室访问 (43%与18%相比,P = .035).
- 1.22-1.54的平衡比表明,需要多个退行性病例来抵消一个非退行性病例的成本.
结论:
- 在CMS BPCIA捆绑付款中,非退行性指示的肩膀关节整形术带来了更大的财务风险.
- 与非退行性TSA/rTSA相关的显著成本增加需要对这些患者目前的捆绑支付结构进行审查.
- 捆绑支付计划可能需要调整,以考虑到与非退行性肩关节整形相关的更高支出.
关键词:
肩部整体关节整形术 肩部整体关节整形关节质复原 关节质复原 关节质复原 关节质复原捆绑支付是捆绑支付的一种方式.卫生经济学 卫生经济学患者的成本是患者的成本.反向全肩关节整形手术整个肩膀的时间.更多相关视频
09:51The Transition to an Anterior-Based Muscle Sparing Approach Improves Early Postoperative Function but is Associated with a Learning Curve
Published on: September 7, 2022
2.5K
07:45The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report
Published on: August 4, 2022
3.3K
相关概念视频
01:29Issues 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
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
01:19Standards of Care II
635
Nurses bear specific legal responsibilities under several federal statutes, including:
635