George Washington University Medical Center, Washington, D 20037C, USA.
Otolaryngol Head Neck Surg. 2011 Apr;144(4):533-6. doi: 10.1177/0194599811398858. Epub 2011 Feb 14.
To evaluate the perceived monetary value of physician services within the general population and to foster academic discussion about the finances of clinical practice in the setting of recent health care reform. STUDY DESIGN, SUBJECTS, AND METHODS: National survey of 409 members of the general population and review of Centers for Medicare and Medicaid Services data.
The perceived monetary values of office visits were comparable to the actual physician reimbursements. However, the average perceived value associated with surgical treatments was significantly higher than the true Medicare reimbursement amount. For example, survey participants said that a reasonable price for a doctor to be paid for performing a tonsillectomy is $955.58, whereas the national average Medicare reimbursement is $257.74. Furthermore, 59% of respondents also believe that insurers, Medicare, and Medicaid pay doctors more than the respondent's perceived value for each service.
The current patterns of Centers for Medicare and Medicaid Services reimbursement reveal a trend of declining payments for physician services. A survey of a sample of the general population indicated that most people believe that their doctors are paid far more than they actually are. It is important for otolaryngologists and head and neck surgeons to understand and discuss the economic forces that continue to shape our practices, and it is vital that we all play an active role in the discussions surrounding the evolution of the American health care system.
评估一般人群对医师服务的感知货币价值，并在最近医疗改革的背景下，就临床实践的财务问题展开学术讨论。
研究设计、对象和方法：对 409 名普通民众进行了全国性调查，并查阅了医疗保险和医疗补助服务中心的数据。
门诊就诊的感知货币价值与实际医生报销费用相当。然而，与真正的医疗保险报销金额相比，人们对手术治疗的平均感知价值要高得多。例如，调查参与者表示，医生进行扁桃体切除术的合理报酬是 955.58 美元，而全国平均医疗保险报销金额为 257.74 美元。此外，59%的受访者还认为，保险公司、医疗保险和医疗补助为医生支付的费用超过了受访者对每项服务的感知价值。
医疗保险和医疗补助服务中心目前的报销模式显示出医生服务支付金额下降的趋势。对普通人群的抽样调查表明，大多数人认为他们的医生得到的报酬远远超过实际收入。耳鼻喉科医生和头颈外科医生了解并讨论继续影响我们实践的经济力量非常重要，我们所有人都必须在围绕美国医疗保健系统演变的讨论中发挥积极作用。
