Szokol Joseph W, Stead Stanley
aDepartment of Anesthesiology, NorthShore University HealthSystem, Evanston, Illinois bUniversity of Chicago, Prtizker School of Medicine, Chicago, Illinois cAmerican Society of Anesthesiologists, Park Ridge, Illinois dStead Health Group, Inc, Los Angeles, California, USA.
Curr Opin Anaesthesiol. 2014 Apr;27(2):183-9. doi: 10.1097/ACO.0000000000000048.
In this review, we evaluate the current US employment models for healthcare in general and anesthesiologists in particular and the emergence of large, multispecialty physician groups and the forces behind this change to the current anesthesia practice model. We will also examine the present payment method for anesthesiologists and determine how Accountable Care Organizations will affect the future payment models.
Very few anesthesiologists are aware of the changing economic landscape in the specialty, and this review will provide an up-to-date examination of the changes that anesthesiologists may face in the ensuing years. Accountable Care Organizations will have a drastic impact on the ways in which anesthesiologists are reimbursed and will require anesthesiologists to become more involved in perioperative patient care and outcomes.
This is the most critical time in the specialty of anesthesiology from an economic viewpoint, and significant threats and opportunities will arise for anesthesiologists in how they are reimbursed, and how they demonstrate the delivery of quality care to patients.
在本综述中，我们评估美国当前的总体医疗保健就业模式，尤其是麻醉医生的就业模式，以及大型多专科医生集团的出现和导致当前麻醉实践模式发生这种变化的背后力量。我们还将研究麻醉医生目前的支付方式，并确定 accountable care organizations（可问责医疗组织）将如何影响未来的支付模式。
很少有麻醉医生意识到该专业不断变化的经济形势，本综述将对麻醉医生在未来几年可能面临的变化进行最新审视。可问责医疗组织将对麻醉医生的报销方式产生巨大影响，并将要求麻醉医生更多地参与围手术期患者护理和治疗结果。
从经济角度来看，这是麻醉学专业最关键的时期，麻醉医生在报销方式以及如何向患者证明提供了优质护理方面将面临重大威胁和机遇。
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