Kautzmann L N
Am J Occup Ther. 1986 Jul;40(7):470-3. doi: 10.5014/ajot.40.7.470.
The health care industry has undergone radical change because of the implementation of the Medicare Prospective Payment System (MPPS). This study is an assessment of the effect of MPPS on Level II fieldwork. Six factors that have the potential to influence fieldwork delivery patterns formed the basis of a questionnaire that was mailed to 23 occupational therapy directors in acute care Wisconsin hospitals. The 21 returned questionnaires were tallied by frequency of response and analyzed to ascertain current practice and changes resulting from MPPS. Findings indicate a strong commitment to professional and technical Level II fieldwork education. Departments reporting a decrease in staff were able to deflect the impact of the reductions by modifying their clinical education programs. Although changes were noted in all of the six identified categories, there was only minimal evidence that they were directly related to MPPS. Monitoring change during the 3rd and 4th year of the transition was recommended.
由于医疗保险预期支付系统（MPPS）的实施，医疗保健行业发生了根本性的变化。本研究旨在评估MPPS对二级现场工作的影响。六个有可能影响现场工作交付模式的因素构成了一份问卷的基础，该问卷被邮寄给威斯康星州急症护理医院的23名职业治疗主任。对回收的21份问卷按回复频率进行统计，并进行分析，以确定当前的做法以及MPPS带来的变化。结果表明，对专业和技术二级现场工作教育有坚定的承诺。报告员工减少的部门能够通过修改其临床教育计划来减轻裁员的影响。尽管在所有六个确定的类别中都注意到了变化，但只有极少的证据表明这些变化与MPPS直接相关。建议在过渡的第三年和第四年监测变化情况。
