老年人关节骨骨折的手术固定:在20多年中利用和补偿
Jack C Hop1, Evan H Richman2, Daniel C Marchetti2
1Department of Orthopedics, University of Colorado Anschutz Medical Campus, Aurora, USA. jack.hop@cuanschutz.edu.
概括
中轴关节骨折的手术治疗在医疗保险患者中显著增加,但非手术治疗仍然是最常见的. 外科手术的医生补偿增加,与非手术护理不同.
科学领域:
- 整形外科的趋势 整形外科的趋势
- 医疗保险中的医疗保健经济学
背景情况:
- 中轴关节骨骨折是常见的伤害.
- 治疗决策涉及操作式与非操作式的方法.
- 了解长期使用和报销对于医疗保健政策至关重要.
研究的目的:
- 分析中轴关节骨折的手术和非手术治疗的23年趋势.
- 在医疗保险人群中确定医生对这些治疗的报销变化.
主要方法:
- 医疗保险B部分国家总结数据文件 (2000-2022) 的回顾性分析.
- 包括使用CPT代码治疗关闭关节轴骨折的患者.
- 检查了手术与非手术管理的利用率和医生补偿.
主要成果:
- 从2000年到2022年,手术治疗的利用率增加了445% (调整了入学人数).
- 在同一时期,非手术治疗减少了19% (调整为入学人数).
- 经通货膨胀调整后,手术护理的补偿增加了40%,而非手术护理的补偿减少了19%.
结论:
- 中轴关节骨折的手术治疗在医疗保险受益人群中出现了大幅增长.
- 非手术治疗仍然是主要的治疗选择.
- 医生补偿趋势显示出差异,手术护理超过通货膨胀,与许多骨科手术不同.
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