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支付改革与医疗实践格局的变化:对神经科医生的影响

Payment reform and the changing landscape in medical practice: Implications for neurologists.

作者信息

Powers Laura, Shepard Katie M, Craft Karolina

机构信息

American Academy of Neurology, St. Paul, MN.

出版信息

Neurol Clin Pract. 2012 Sep;2(3):224-230. doi: 10.1212/CPJ.0b013e31826af252.

Abstract

The growth in health care spending in the United States, though slowed in the last few years, remains unsustainable. Since higher health care spending does not correlate with most measures of improved patient outcome, there are new attempts to define "value" in health care as the ratio of quality to cost. This article reviews newer proposed models for provider payment and organization and their possible effects on neurologic practice.

摘要

美国医疗保健支出的增长,尽管在过去几年有所放缓,但仍难以为继。由于更高的医疗保健支出与大多数改善患者预后的指标并无关联,因此出现了新的尝试,将医疗保健中的“价值”定义为质量与成本之比。本文回顾了关于医疗服务提供者支付和组织的新提议模式及其对神经科医疗实践可能产生的影响。

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