Rana Adam, Vira Shaleen
Orthopedic Surgeon, Department of Orthopedics and Sports Medicine, Maine Medical Center, Portland, Maine.
Instr Course Lect. 2017 Feb 15;66:647-652.
The Patient Protection and Affordable Care Act includes several provisions that focus on improving the delivery of health care in the United States. Reducing overall healthcare costs and improving the quality of care delivered are two overarching themes of the Patient Protection and Affordable Care Act. An evaluation of quality in total joint arthroplasty focuses on three main areas: complications, readmissions, and, more recently, patient-reported outcomes. Patient-reported outcomes allow surgeons and patients to objectively document pain relief and functional gain after total joint arthroplasty. Surgeons, groups, or hospitals that commit to the collection of patient-reported outcomes must consider which patient-reported outcomes to capture, the workflow and timing of postoperative patient-reported outcome collection, and how to minimize the burden of patient-reported outcome collection on both patients and surgeons.
《患者保护与平价医疗法案》包含多项旨在改善美国医疗服务提供的条款。降低总体医疗成本以及提高所提供医疗服务的质量是《患者保护与平价医疗法案》的两个首要主题。全关节置换术质量评估聚焦于三个主要领域：并发症、再入院情况，以及最近的患者报告结局。患者报告结局使外科医生和患者能够客观记录全关节置换术后的疼痛缓解情况和功能改善情况。致力于收集患者报告结局的外科医生、团体或医院必须考虑收集哪些患者报告结局、术后患者报告结局收集的工作流程和时间安排，以及如何将患者报告结局收集给患者和外科医生带来的负担降至最低。
