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医疗保险应该如何支付医生薪酬?

How should Medicare pay physicians?

作者信息

Hadley J

出版信息

Milbank Mem Fund Q Health Soc. 1984 Spring;62(2):279-99.

PMID:6371598
Abstract

Medicare's system of paying physicians is criticized as being costly, inflationary , inefficient, inequitable , and confusing. Yet when alternative methods--to change practice arrangements, units of service, fee levels, and the assignment option--are examined, no one seems ideal. A fee-for-service system combined with a prospective payment schedule may offer the best compromise.

摘要

医疗保险支付医生的体系被批评为成本高昂、引发通胀、效率低下、不公平且令人困惑。然而,当审视改变执业安排、服务单位、费用水平和指派选项等替代方法时,似乎没有一种是理想的。将按服务收费体系与前瞻性支付计划相结合或许能提供最佳的折衷方案。

相似文献

1
How should Medicare pay physicians?医疗保险应该如何支付医生薪酬?
Milbank Mem Fund Q Health Soc. 1984 Spring;62(2):279-99.
2
An analysis of methods to reform Medicare payment for physician services.改革医疗保险医师服务支付方式的方法分析。
Inquiry. 1987 Spring;24(1):36-47.
3
Strategies for reforming Medicare's physician payments. Physician diagnosis-related groups and other approaches.医疗保险医生支付改革策略。医生诊断相关分组及其他方法。
N Engl J Med. 1985 Jun 6;312(23):1492-9. doi: 10.1056/NEJM198506063122306.
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Medicare physician payment reform: changing incentives to maintain access to quality surgical services.医疗保险医生支付改革:改变激励措施以维持获得优质外科服务的机会。
J Am Coll Surg. 2008 Jan;206(1):165-70. doi: 10.1016/j.jamcollsurg.2007.07.004. Epub 2007 Oct 1.
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AMA to Congress: Now is the time to reform Medicare payment system.美国医学协会致国会:现在是改革医疗保险支付系统的时候了。
S D Med. 2008 Nov;61(11):423.
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Physician payment 2008 for interventionalists: current state of health care policy.2008年介入治疗医生的薪酬:医疗保健政策现状
Pain Physician. 2007 Sep;10(5):607-26.
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Payment of physicians under Medicare.医疗保险下医生的薪酬支付。
N Engl J Med. 1988 Mar 31;318(13):863-8. doi: 10.1056/NEJM198803313181326.
8
Medicare payment for physician services. Health and Public Policy Committee, American College of Physicians.医疗保险对医生服务的支付。美国医师学会健康与公共政策委员会。
Ann Intern Med. 1987 Jan;106(1):151-63.
9
Medicare program; revisions to payment policies under the physician fee schedule for calendar year 2003 and inclusion of registered nurses in the personnel provision of the critical access hospital emergency services requirement for frontier areas and remote locations. Final rule with comment period.医疗保险计划;2003日历年医师费率表下支付政策的修订以及将注册护士纳入边远地区和偏远地区急救医院急诊服务人员配备要求。带有意见征求期的最终规则。
Fed Regist. 2002 Dec 31;67(251):79965-80184.
10
Alternative units of payment for physician services: an overview of the issues.医师服务的替代支付单位:问题概述
Med Care Rev. 1986 Spring;43(1):133-56. doi: 10.1177/107755878604300105.

引用本文的文献

1
Trends in physician assignment rates for Medicare services, 1968-85.1968 - 1985年医疗保险服务的医生分配率趋势
Health Care Financ Rev. 1985 Winter;7(2):59-75.
2
Changing physician payment for Medicare patients. Projected effects on the quality of care.改变针对医疗保险患者的医生薪酬支付方式。对医疗质量的预期影响。
West J Med. 1986 Nov;145(5):704-9.
3
Primary medical care for elderly patients. Part I: Service mix as seen by an expert panel.
J Community Health. 1989 Summer;14(2):79-87. doi: 10.1007/BF01321538.