提高医生计费的质量改善干预措施:系统审查
Rebecca Theal1, Annabel Chan2, Akshay Rajaram1,3
1Department of Family Medicine, Queen's University, Kingston, ON, Canada.
概括
质量改进策略可以提高医生计费流程,教育干预是常见的. 然而,这些方法往往效率较低,需要进一步研究它们的长期影响.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学经济学 医学经济学
背景情况:
- 医生计费在医疗保健中存在重大挑战.
- 当前的计费流程往往导致效率低下和错误.
研究的目的:
- 系统地审查和描述旨在提高医生计费的质量改善 (QI) 策略.
- 确定医生计费中的QI干预措施的有效性和常见方法.
主要方法:
- 以系统审查和元分析 (PRISMA) 标准的优先报告项目为指导的系统审查.
- 在MEDLINE,EMBASE,HealthStar和Web of Science搜索了有关医生QI干预的研究.
- 包括报告结果的研究,如提高疗效,效率,计费代码准确性或满意度.
主要成果:
- 在11,621项研究中,有56项符合纳入标准.
- 超过40%的研究使用了多种干预措施,超过60%的研究包括教育部分.
- 收入 (54%),准确度/错误率 (43%) 和完成率 (25%) 是常见的结果.
结论:
- 医生计费的质量改进干预措施经常被采用,通常包含教育元素.
- 这些干预措施在干预有效性的层次结构中似乎效果较差.
- 需要进一步的研究来评估耐用性,概括性以及对医生和患者结果的影响.
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