Satarasinghe Praveen, Shah Darsh, Koltz Michael T
Department of Neurosurgery, Dell Medical School, 1501 Red River Street, Austin, TX 78723, USA.
Department of Neurosurgery, Seton Brain and Spine Institute, 301 Seton Parkway, Round Rock, TX 78665, USA.
Healthcare (Basel). 2020 Dec 1;8(4):526. doi: 10.3390/healthcare8040526.
The debate surrounding the integration of value in healthcare delivery and reimbursement reform has centered around integrating quality metrics into the current fee-for-service relative value units (RVU) payment model. Although a great amount of literature has been published on the creation and utilization of the RVU, there remains a dearth of information on how clinicians from various specialties view RVU and the quality-of-care metric in the compensation formula. The aim of this review is to analyze and consolidate existing theories on the RVU payment model in neurosurgery. Google and PubMed were searched for English-language literature describing opinions on the RVU in neurosurgery. Commentary was noted to be primary opinions if it was mentioned at least twice in the eight articles included in this review. Overall, seven primary opinions on the RVU were identified across the analyzed articles. Integration of quality into the RVU is viewed favorably by neurosurgeons with a few caveats and opportunities for further improvement.
围绕医疗服务提供中的价值整合和报销改革的争论主要集中在将质量指标纳入当前的按服务收费相对价值单位（RVU）支付模式。尽管已经发表了大量关于RVU的创建和使用的文献，但对于各专业的临床医生如何看待RVU以及薪酬公式中的医疗质量指标，仍然缺乏相关信息。本综述的目的是分析和整合神经外科领域关于RVU支付模式的现有理论。通过在谷歌和PubMed上搜索描述神经外科领域对RVU看法的英文文献。如果在本综述纳入的八篇文章中至少被提及两次，评论将被视为主要观点。总体而言，在分析的文章中确定了关于RVU的七个主要观点。神经外科医生对将质量纳入RVU持积极态度，但也有一些需要注意的地方和进一步改进的机会。
