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基于价值的植入物在骨科创伤中的作用。

The Role of Value-Based Implants in Orthopedic Trauma.

作者信息

Lybrand Kyle E, Althausen Peter L

机构信息

Reno Orthopaedic Clinic, 555. North Arlington Avenue, Reno, NV 89503, USA.

Reno Orthopaedic Clinic, 555. North Arlington Avenue, Reno, NV 89503, USA.

出版信息

Orthop Clin North Am. 2018 Oct;49(4):437-443. doi: 10.1016/j.ocl.2018.05.005. Epub 2018 Jun 27.

Abstract

Health care costs in the United States continue to rise, and economic pressures influencing the care of the orthopedic trauma patient have never been greater. Value-based health care is vital to the survival of the current health care system, and the use of value-based implants is central to success. Value-based implants have similar clinical outcomes to conventional implants; however, multiple barriers exist. Despite biomechanical equivalence and significant cost savings, surgeons have difficultly changing implant use without financial incentive. The rise of physician-owned surgery centers, bundled payments, and gain sharing and comanagement agreements will likely drive this change.

摘要

美国的医疗保健成本持续上升,影响骨科创伤患者护理的经济压力前所未有的大。基于价值的医疗保健对于当前医疗保健系统的生存至关重要,而使用基于价值的植入物是成功的关键。基于价值的植入物与传统植入物具有相似的临床结果;然而,存在多重障碍。尽管在生物力学上等效且能显著节省成本,但如果没有经济激励,外科医生很难改变植入物的使用。医生拥有的手术中心的兴起、捆绑支付、收益共享和共同管理协议可能会推动这一变化。

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