为执行医疗保险初级全关节成形术的早期职业成人重建外科医生确定每小时费率

IF 1.5 Q3 ORTHOPEDICS
Evan Catton MD , Alan Puddy MD , Vineet Tyagi MD , Gregory M. Kurkis MD , David N. Shau MD, MBA
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引用次数: 0

摘要

背景有关早期职业成人重建外科医生报酬的数据很少。本研究旨在量化医疗保险初级全髋/膝关节置换术整个护理过程的时间,并将不同地理位置和执业环境下的早期职业关节置换外科医生的每小时报酬进行换算。方法在 2022 年 1 月至 2023 年 1 月期间,3 个不同地点的 3 位早期职业外科医生收集了初级全髋关节/膝关节置换术(pTJA)后全球患者护理时间的前瞻性数据。使用 2024 年工作相对价值单位和转换系数计算了全球期间每个 pTJA 所花费的加权平均时间,从而确定了每小时的费率。结果3名外科医生共完成了334例pTJA(148例髋关节和186例膝关节),每小时费率分别为87.62美元和87.70美元。这低于医院/医疗保健系统/医疗保险/医疗科技公司的首席执行官、律师、牙医和旅行护士。结论这项研究量化了职业生涯早期的关节成形外科医生的每小时报酬,他们的报酬率低于旅行护士,而且比医疗保险和医疗补助服务中心 RUC 的 pTJA 时间更长。鉴于对 pTJA 的需求不断增加、报销率不断下降以及对职业倦怠的担忧,患者能否获得高质量的 pTJA 护理令人担忧。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Establishing a Per-Hour Rate for Early-Career Adult Reconstruction Surgeons Performing Medicare Primary Total Joint Arthroplasty

Background

There is a paucity of data regarding compensation for early-career adult reconstruction surgeons. This study aims to quantify the time throughout the full episode of care for a Medicare primary total hip/knee arthroplasty and convert to per-hour pay for early-career arthroplasty surgeons at various geographic locations and practice settings. Using Center for Medicare and Medicaid Services data, this study also compares the compensation of early-career vs established total joint arthroplasty (TJA) surgeons.

Methods

Between January 2022 and January 2023, 3 early-career surgeons in 3 different locations collected prospective data on time spent in patient care during the global period following primary TJAs (pTJAs). A weighted average time spent per pTJA during global period was calculated with the 2024 work relative value unit and conversion factor to establish a per-hour rate. This rate was compared to the compensation rates of other healthcare-related fields and established TJA surgeons using Relative Value Scale Update Committee (RUC) values.

Results

A total of 334 pTJAs (148 hips and 186 knees) were performed among 3 surgeons, and per-hour rates of $87.62 and $87.70 were found, respectively. These are less than hospital/healthcare system/health insurance/med tech CEOs, lawyers, dentists, and travel nurses. Early-career TJA surgeons were found to take 7.98%-8.68% longer than RUC standard times for a TJA episode of care.

Conclusions

This study quantifies the per-hour compensation of early-career arthroplasty surgeons, who earn lower compensation rates to travel nurses and take longer than Center for Medicare and Medicaid Services RUC times for pTJAs. Given the increasing demand for pTJAs, decreasing reimbursement rates, and concern over burnout, access to quality pTJA care for patients is concerning.

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来源期刊
Arthroplasty Today
Arthroplasty Today Medicine-Surgery
CiteScore
2.90
自引率
0.00%
发文量
258
审稿时长
40 weeks
期刊介绍: Arthroplasty Today is a companion journal to the Journal of Arthroplasty. The journal Arthroplasty Today brings together the clinical and scientific foundations for joint replacement of the hip and knee in an open-access, online format. Arthroplasty Today solicits manuscripts of the highest quality from all areas of scientific endeavor that relate to joint replacement or the treatment of its complications, including those dealing with patient outcomes, economic and policy issues, prosthetic design, biomechanics, biomaterials, and biologic response to arthroplasty. The journal focuses on case reports. It is the purpose of Arthroplasty Today to present material to practicing orthopaedic surgeons that will keep them abreast of developments in the field, prove useful in the care of patients, and aid in understanding the scientific foundation of this subspecialty area of joint replacement. The international members of the Editorial Board provide a worldwide perspective for the journal''s area of interest. Their participation ensures that each issue of Arthroplasty Today provides the reader with timely, peer-reviewed articles of the highest quality.
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