以患者为中心的慢性病医疗支付。

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES

JOURNAL OF AMBULATORY CARE MANAGEMENT Pub Date : 2023-04-01 DOI:10.1097/JAC.0000000000000455

Harold D Miller

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引用次数: 0

摘要

目前的支付系统使专家和初级保健实践难以提供慢性病患者所需的所有服务。“基于价值的支付”方案未能解决这些问题。在以患者为中心的支付系统中，应该有四种单独的支付方式，专门用于支持慢性病护理的每个阶段:(1)诊断支付，(2)护理计划支付，(3)初始病情管理支付，(4)每月病情管理支付。医生应该负责在每个护理阶段向患者提供基于证据的服务，对于病情更复杂的患者，支付金额应该更高。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Patient-Centered Payment for Care of Chronic Conditions.

查看原文本刊更多论文

Patient-Centered Payment for Care of Chronic Conditions.

Current payment systems make it difficult for both specialists and primary care practices to provide all of the services needed by patients with chronic conditions. "Value-based payment" programs have failed to solve these problems. In a patient-centered payment system, there should be 4 separate payments designed specifically to support each of the phases of chronic condition care: (1) Diagnosis Payment, (2) Care Planning Payment, (3) Initial Condition Management Payment, and (4) Monthly Condition Management Payments. Physicians should be accountable for delivering evidence-based services to patients in each phase of care, and payment amounts should be higher for more complex patients.

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来源期刊

JOURNAL OF AMBULATORY CARE MANAGEMENT HEALTH CARE SCIENCES & SERVICES-

CiteScore

3.10

自引率

4.30%

发文量

期刊介绍： The Journal of Ambulatory Care Management is a PEER-REVIEWED journal that provides timely, applied information on the most important developments and issues in ambulatory care management.