Goldman Ashton H, Kates Stephen
Orthopaedic Surgery Department, Virginia Commonwealth University, 1200 E Broad Street; 9th floor, P.O Box 980153, Richmond, VA, 23298, USA.
Curr Rev Musculoskelet Med. 2017 Jun;10(2):212-217. doi: 10.1007/s12178-017-9404-9.
Recent health laws have shifted from the traditional fee-for-service model toward a pay-for-performance model. In this changing climate, it is imperative that a provider understands these changes and recognizes the importance of health services research on medicine.
Increasing the value of care by improving quality and decreasing cost has been the focus of several projects. Preventing complications may be an effective way to increase value. Patient risk stratification is a modifiable variable that will allow for improved patient selection. This in turn may reduce adverse events, thereby lessening the economic burden of complications, increased length of stay, and hospital readmission. Providers must partner with their hospitals to align their goals and maximize quality and efficiency in order to decrease costs.
近期的卫生法律已从传统的按服务收费模式转向按绩效付费模式。在这种不断变化的环境下，医疗服务提供者必须理解这些变化，并认识到卫生服务研究对医学的重要性。
通过提高质量和降低成本来增加医疗价值一直是多个项目的重点。预防并发症可能是增加价值的有效途径。患者风险分层是一个可调节的变量，有助于改善患者选择。这反过来可能会减少不良事件，从而减轻并发症的经济负担、缩短住院时间并降低医院再入院率。医疗服务提供者必须与所在医院合作，使目标保持一致，最大限度地提高质量和效率，以降低成本。
