在医疗保险收费服务受益人中,医生预先计划护理的医生计费,2016-2021年
Nan Wang1, Changchuan Jiang2, Elizabeth Paulk3
1Department of Public Health Sciences, University of California-Davis, Davis, CA, USA.
The Permanente journal
|August 11, 2025
概括
医生提前护理计划 (ACP) 的收费从2016年到2021年增加了三倍,但总体而言仍然很低. 收养因专业不同而有所不同,其中临终关怀和息医学占据领先地位,凸显了非洲和非洲国家和地区实施的挑战.
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
- 老年医学 老年医学
背景情况:
- 2016年,医疗保险和医疗补助服务中心 (CMS) 开始偿还预先护理计划 (ACP) 服务.
- 这一政策的目的是鼓励医生与患者讨论生命终端偏好.
研究的目的:
- 分析从2016年到2021年跨越医疗专业的ACP计费利用趋势.
- 根据大都会与非大都会的地位,调查非洲和非洲的服务量差异.
主要方法:
- 对CMS医疗保险提供者利用和支付文件 (2016-2021) 的分析.
- 检查医疗保健常规程序编码系统 (HCPCS) 编码对非洲和非洲国家访问的代码.
- 威尔科克森的测试比较了根据大都会地位的非洲和非洲国家访问量.
主要成果:
- 从事ACP访问的医疗从业者占比从2016年的1.76%增加到2021年的4.56%.
- 临终关怀和息医学专家在2021年收费比例最高 (36.94%).
- 对于癌症,绝症和初级/老年护理专业,非大都市地区的ACP产品数量更高.
结论:
- 到2021年,尽管医生采用了三倍的增长,但非洲和中东国家的医生收费率仍然很低.
- 在医疗专业中,在非洲和非洲的使用中存在显著的差异.
- 诸如讨论的舒适性和文档负担等障碍可能会限制ACP采用.
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