这是一个全新的世界：全关节置换术中的替代支付模式与价值创造：为全关节置换术、质量和成本效益计划创造价值。
It Is a Brave New World: Alternative Payment Models and Value Creation in Total Joint Arthroplasty: Creating Value for TJR, Quality and Cost-Effectiveness Programs.
作者信息
Chen Kevin K, Harty Jonathan H, Bosco Joseph A
机构信息
Department of Orthopaedic Surgery, NYU Langone Medical Center, Hospital for Joint Diseases, New York, New York.
出版信息
J Arthroplasty. 2017 Jun;32(6):1717-1719. doi: 10.1016/j.arth.2017.02.013. Epub 2017 Feb 14.
BACKGROUND
The increasing cost of our country's healthcare is not sustainable. To address this crisis, the federal government is transiting healthcare reimbursement from the traditional volume-based system to a value-based system. As such, increasing healthcare value has become an essential point of discussion for all healthcare stakeholders.
METHODS
The purpose of this study is to discuss the importance of healthcare value as a means to achieve this goal of value-based medicine and 3 methods to create value in total joint arthroplasty.
RESULTS
These methods are to: (1) improve outcomes greater than the increased costs to achieve this improvement, (2) decrease costs without affecting outcomes, and (3) decrease costs while simultaneously improving outcomes.
CONCLUSION
Following these guidelines will help practitioners thrive in a bundled care environment.
背景
我国医疗保健费用不断上涨，这种情况难以为继。为应对这一危机，联邦政府正在将医疗保健报销从传统的基于数量的系统转变为基于价值的系统。因此，提高医疗保健价值已成为所有医疗保健利益相关者讨论的要点。
方法
本研究的目的是讨论医疗保健价值作为实现基于价值的医疗这一目标的手段的重要性，以及在全关节置换术中创造价值的3种方法。
结果
这些方法是：（1）改善结果，且改善结果所增加的成本大于实现这种改善所增加的成本；（2）在不影响结果的情况下降低成本；（3）在降低成本的同时改善结果。
结论
遵循这些指导方针将有助于从业者在捆绑式护理环境中蓬勃发展。
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