Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts; National Clinician Scholars Program at the Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, Michigan; Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, Michigan.
Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts; Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, Massachusetts.
J Surg Res. 2021 Jul;263:102-109. doi: 10.1016/j.jss.2020.12.056. Epub 2021 Feb 25.
The year 2020 marks the 10th anniversary of the signing of the Affordable Care Act (ACA). Perhaps the greatest overhaul of the US health care system in the past 50 y, the ACA sought to expand access to care, improve quality, and reduce health care costs. Over the past decade, there have been a number of challenges and changes to the law, which remains in evolution. While the ACA's policies were not intended to specifically target surgical care, surgical patients, surgeons, and the health systems within which they function have all been greatly affected. This article aims to provide a brief overview of the impact of the ACA on surgical patients in reference to its tripartite aim of improving access, improving quality, and reducing costs.
2020 年标志着《平价医疗法案》(ACA)签署十周年。该法案或许是过去 50 年来美国医疗体系最大的一次改革,旨在扩大医疗服务的可及性、提高医疗质量并降低医疗成本。在过去的十年中,该法案面临了许多挑战和变革,目前仍在不断发展和演变中。尽管《平价医疗法案》的政策并非专门针对外科护理,但外科患者、外科医生以及他们所服务的医疗体系都受到了重大影响。本文旨在简要概述《平价医疗法案》对外科患者的影响,参考其提高可及性、提高质量和降低成本的三重目标。