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探索提供骨科护理的新实践模式:我们能否显著降低交付成本并提高质量?

Exploring new practice models delivering orthopedic care: can we significantly decrease delivery costs and improve quality?

作者信息

McIntyre Louis F

机构信息

Westchester Orthopedic Associates, White Plains, NY 10605, USA.

出版信息

Sports Med Arthrosc Rev. 2013 Sep;21(3):152-4. doi: 10.1097/JSA.0b013e31829e42d9.

DOI:10.1097/JSA.0b013e31829e42d9
PMID:23924747
Abstract

Health care delivery models are undergoing rapid transformation in response to market, regulatory, and demographic trends. Many of the new models of delivery are centrally planned structures with attributes dictated by statute. An understanding of these models is essential if physicians wish to retain an influential voice in patient care. Accountable Care Organizations, Medical Homes, Bundled Payment, and Episode of Care are terms even sports medicine physicians must become familiar with to positively affect the delivery of health care in the near future. By embracing both the clinical and economic aspects of health care, surgeons will be in a better position to make health care reform responsive to actual patient needs.

摘要

为应对市场、监管和人口趋势,医疗服务提供模式正在经历快速变革。许多新的服务模式是由法规规定其属性的中央规划结构。如果医生希望在患者护理方面保持有影响力的发言权,那么了解这些模式至关重要。 accountable care organizations( accountable care organizations,可译为“ accountable care organizations”)、医疗之家、捆绑支付和医疗事件等术语,甚至运动医学医生也必须熟悉,以便在不久的将来对医疗服务的提供产生积极影响。通过兼顾医疗保健的临床和经济方面,外科医生将能更好地使医疗改革满足实际患者需求。

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Healthcare Transformation and Changing Roles for Nursing.医疗保健转型与护理角色的转变
Orthop Nurs. 2017 Jan/Feb;36(1):12-25. doi: 10.1097/NOR.0000000000000308.
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Universal Health Insurance Coverage in Massachusetts Did Not Change the Trajectory of Arthroplasty Use or Costs.
马萨诸塞州的全民医疗保险覆盖范围并未改变关节置换术的使用轨迹或成本。
Clin Orthop Relat Res. 2016 May;474(5):1090-8. doi: 10.1007/s11999-015-4643-9. Epub 2015 Dec 18.