美国医疗保健环境与改革对学术医疗中心的影响。

The Influence of the United States Health Care Environment and Reform on Academic Medical Centers.

机构信息

Orthopedic Surgery Department, University of Texas at Austin, Health Discovery Building HDB 6.706, 1701 Trinity Street, Austin, TX 78712, USA.

Department of Surgery and Perioperative Care, University of Texas at Austin, Health Discovery Building HDB 6.706, 1701 Trinity Street, Austin, TX 78712, USA.

出版信息

Hand Clin. 2020 May;36(2):165-169. doi: 10.1016/j.hcl.2020.01.003.

DOI:10.1016/j.hcl.2020.01.003

PMID:32307046

Abstract

Academic medical centers (AMC) provide care for most of the underinsured populations of the United States. Their large size and the high acuity of cases make AMCs vulnerable to changes in health care policy. They also are the primary centers for health care research and education and are therefore heavily dependent on federal programs and funding. Since the passage of the Affordable Care Act, AMCs have seen a decrease in the number of patients without insurance. They have also participated in the implementation of alternative payment models, including accountable care organizations, with mixed success.

摘要

学术医疗中心（AMC）为美国大多数未参保人群提供医疗服务。它们的规模庞大，病例的严重程度高，这使得 AMC 容易受到医疗政策变化的影响。它们也是医疗保健研究和教育的主要中心，因此严重依赖联邦计划和资金。自《平价医疗法案》通过以来，AMC 发现没有保险的患者数量有所减少。它们还参与了包括责任医疗组织在内的替代支付模式的实施，但结果喜忧参半。