Department of Cardiothoracic Surgery, Baylor Scott & White The Heart Hospital, Plano, Texas.
Department of Cardiothoracic Surgery, Baylor Scott & White The Heart Hospital, Plano, Texas.
Ann Thorac Surg. 2022 Dec;114(6):2383-2390. doi: 10.1016/j.athoracsur.2022.02.061. Epub 2022 Mar 22.
The Centers for Medicare and Medicaid Services recently proposed a substantial cut to reimbursement for surgical services, punctuating a steady decline in reimbursement for clinical services provided by cardiothoracic surgeons during the last several decades. Meanwhile, the costs of practicing cardiothoracic surgery continue to increase. In an effort to defect against diminishing control over patient care and further negative changes affecting reimbursement, cardiothoracic surgeons must be able to convincingly demonstrate their value to patients and the health care system. However, the overall contribution of a cardiothoracic surgeon can be difficult to measure objectively and varies widely according to a host of factors, including practice setting, experience, subspecialization, and the local market. To address these challenges, The Society of Thoracic Surgeons Workforce on Practice Management has commissioned a Writing Task Force to raise awareness, to concentrate knowledge, and to organize information related to compensation as a comprehensive resource for cardiothoracic surgeons. The purpose of this initial report is to provide an overview of the major factors having an impact on compensation for cardiothoracic surgeons.
医疗保险和医疗补助服务中心最近提议大幅削减外科手术服务的报销费用，这突显了在过去几十年中，心胸外科医生提供的临床服务报销费用持续下降的趋势。与此同时，心胸外科手术的成本仍在继续上升。为了抵御对患者护理控制的减弱以及对报销产生的进一步负面影响，心胸外科医生必须能够令人信服地向患者和医疗保健系统证明自己的价值。然而，心胸外科医生的整体贡献很难客观衡量，并且根据许多因素（包括实践环境、经验、亚专业和当地市场）而有很大差异。为了解决这些挑战，胸外科医师协会实践管理工作组委托一个写作工作组来提高认识、集中知识并组织与薪酬相关的信息，以作为心胸外科医生的综合资源。本初步报告的目的是概述对心胸外科医生薪酬有影响的主要因素。
