行业支付的趋势以及机器人辅助手术的数量和分布
Katia Noyes1,2, Ajay A Myneni3, Aaron B Hoffman4
1Division of Health Services Policy and Practice, Department of Epidemiology and Environmental Health, School of Public Health and Health Professions, University at Buffalo, Buffalo, NY, USA.
Surgical endoscopy
|April 11, 2025
概括
工业对外科医生的支付与机器人辅助手术 (RAS) 的使用增加有关,特别是在胃肠道手术中. 需要进一步进行公正的研究,以确保RAS采用的患者安全和系统效率.
科学领域:
- 医学经济学 医学经济学
- 手术技术 手术技术
- 医疗保健政策 医疗保健政策
背景情况:
- 制药行业的支付影响了提供商的处方.
- 关于手术器械支付和机器人辅助手术 (RAS) 使用的数据有限.
- 本研究探讨了行业支付与RAS采用之间的联系.
研究的目的:
- 评估行业向医疗保健提供者支付的费用与使用机器人辅助手术 (RAS) 之间的关系.
- 检查支付和RAS数量之间的时间和空间相关性.
主要方法:
- 利用了CMS"阳光"开放支付数据库中的2015-2020年数据.
- 合并纽约州 (NYS) 全州医院出院数据.
- 分析了行业支付和RAS量之间的时间和空间关系.
主要成果:
- 机器人设备制造商在全国范围内向供应商支付了超过2.36亿美元 (2015-2020年),主要用于"教育和培训"和"食物和旅行".
- 在纽约州,胃肠道 (GI) RAS量升了182%,整体外科医生支付增加了150%.
- 生殖泌尿 (GU) 和妇科 (GYN) RAS的数量增加,尽管外科医生支付没有变化,支付和RAS集中在大都市地区.
结论:
- 医疗行业对外科医生教育支付的增加可能与RAS使用的增加有关.
- 公正的研究对于评估RAS对外科医生行为和患者结果的影响至关重要.
- 在RAS采用中确保系统效率和患者安全需要独立的研究.
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