手部手术的基于情节的捆绑付款:对压倒性的医疗保健成本的负担得起的解决方案
Ryan Cheng1, Calvin Wang1, Jared Sain1
1Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
基于事件的捆绑支付提供了一个有希望的解决方案,以减少手术中的医疗保健成本. 这种模式鼓励协作和效率,有可能改善患者的治疗结果,并简化护理.
科学领域:
- 整形外科 整形外科 整形外科
- 卫生经济学 卫生经济学
- 医疗保健管理的管理
背景情况:
- 手和手腕病理在美国带来了大量的医疗保健和生产力成本.
- 传统的服务费模式没有激励跨学科合作和资源优化.
研究的目的:
- 审查专门针对手术的基于情节的捆绑支付模式的文献.
- 探索手术中捆绑支付的可行性和潜在好处.
主要方法:
- 对现有关于各种医疗专业和手术中的捆绑支付研究的文献综述.
- 分析节约成本的途径和实施挑战.
主要成果:
- 捆绑支付可以通过鼓励护理协调,简化计费和专注于质量指标来降低医疗保健成本.
- 在手术中发现的潜在成本节约包括替代服务场所,优化手术方法,麻醉使用和消除低价值测试.
结论:
- 基于情节的捆绑付款显示出增强手术价值和效率的潜力.
- 证据表明,有充分的理由启动手术中捆绑支付的试验阶段.
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