基于综合性成本评估的健康中心研究生医学教育支付教学新公式
概括
教学健康中心研究生医学教育 (THCGME) 计划.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 医学教育 金融 医疗教育 金融
- 初级护理培训培训初级护理培训
背景情况:
- 教学健康中心研究生医学教育 (THCGME) 计划支持社区医疗中心的住院培训.
- 准确的成本评估对于计划的可持续性和充足的资金至关重要.
研究的目的:
- 评估THCGME计划的直接医学教育 (DME) 和间接医学教育 (IME) 成本.
- 确定教学健康中心 (THC) 特性对住院培训费用的影响.
- 开发一种计算每居民金额 (PRA) 支付的方法.
主要方法:
- 一个成本计算仪器收集了50个THC的2018-2019学年数据,用于DME成本.
- 研究人员进行了多次审查,并提供了技术援助.
- 通过使用统一数据系统,采访和现场数据,通过将THC站点与非培训站点进行比较来调查IME成本.
主要成果:
- 2024-2025学年THCGME计划PRA的估计费用为227,164美元,基于每位居民平均支出为328,507美元和收入为101,343美元.
- 居民和教师补偿占PRA支出的一半以上.
- 患者服务占收入的97%;IME成本调查没有提供可识别的估计.
结论:
- 目前的PRA资助不足了THCGME计划内的实际净培训成本.
- 建议包括实施通货膨胀调整后的PRA支付公式,并保持没有THC特定调整的固定支付.
- 由于支持 ambulatory 环境中的额外成本的数据有限,不建议提供额外的 IME 资金.
更多相关视频
06:55Inverse Probability of Treatment Weighting Propensity Score using the Military Health System Data Repository and National Death Index
Published on: January 8, 2020
14.7K
06:16Signal Acquisition, Score Interpretation, and Economics of a Non-Invasive Point-of-Care Test for Coronary Artery Disease
Published on: August 9, 2024
542
相关概念视频
Methods Of Healthcare Delivery System
3.5K
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...
3.5K
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
1.9K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
1.9K
Health Information Technology and Healthcare Information System
950
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
950
Methods of Documentation V: CBE
989
Charting by Exception, or CBE, is a method of documentation used in healthcare, particularly in nursing, that focuses on documenting only significant or abnormal findings rather than recording every detail. This approach aims to streamline the documentation process, improve efficiency, and ensure that healthcare providers can quickly identify deviations from normalcy in patient assessments.
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
In CBE, healthcare professionals establish predefined standards of practice that define what constitutes...
989
Introduction To Health Care Delivery System
3.3K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.3K
Secondary Healthcare System
1.6K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.6K
