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医疗保健价格透明度与沟通:在共同决策不断扩大的时代对放射科医生和患者的影响

Health Care Price Transparency and Communication: Implications for Radiologists and Patients in an Era of Expanding Shared Decision Making.

作者信息

Sadigh Gelareh, Carlos Ruth C, Krupinski Elizabeth A, Meltzer Carolyn C, Duszak Richard

机构信息

1 Department of Radiology and Imaging Sciences, Emory University School of Medicine, 1364 Clifton Rd, Rm 125 D, Atlanta, GA 30322.

2 Department of Radiology, University of Michigan, Ann Arbor, MI.

出版信息

AJR Am J Roentgenol. 2017 Nov;209(5):959-964. doi: 10.2214/AJR.17.18360. Epub 2017 Jul 25.

DOI:10.2214/AJR.17.18360
PMID:28742372
Abstract

OBJECTIVE

The purpose of this article is to review the literature on communicating transparency in health care pricing, both overall and specifically for medical imaging. Focus is also placed on the imperatives and initiatives that will increasingly impact radiologists and their patients.

CONCLUSION

Most Americans seek transparency in health care pricing, yet such discussions occur in fewer than half of patient encounters. Although price transparency tools can help decrease health care spending, most are used infrequently and most lack information about quality. Given the high costs associated with many imaging services, radiologists should be aware of such initiatives to optimize patient engagement and informed shared decision making.

摘要

目的

本文旨在综述有关医疗保健定价透明度沟通的文献,包括总体情况以及医学影像领域的具体情况。同时也关注那些将对放射科医生及其患者产生越来越大影响的必要性因素和举措。

结论

大多数美国人希望医疗保健定价具有透明度,但此类讨论在不到一半的患者就诊过程中出现。尽管价格透明度工具有助于降低医疗保健支出,但大多数工具很少被使用,且大多数缺乏质量方面的信息。鉴于许多影像服务成本高昂,放射科医生应了解此类举措,以优化患者参与度和知情共同决策。

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