我们对患者疼痛管理不善的容忍与门诊妇科手术的报销不公平有什么关系？

Q2 Social Sciences

AMA journal of ethics Pub Date : 2025-02-01 DOI:10.1001/amajethics.2025.137

Nishita Pondugula, Parmida Maghsoudlou, Vardit Ravitsky, Louise P King

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引用次数: 0

摘要

基于办公室的妇科手术（obgp）的报销率低于类似的办公室泌尿科和皮肤科手术。但是，在卫生专业培训中存在一个更广泛的“隐藏课程”，它使临床医生和组织对这些低报销模式的接受持续下去，阻碍了对改善OBGP疼痛管理的研究，并加剧了对患者OBGP疼痛控制不良的容忍。本文提出了公平报销的策略，这也可能激励更好、更公平的OBGP疼痛控制。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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What Does Our Tolerance of Poor Management of Patients' Pain Have to Do With Reimbursement Inequity for Office-Based Gynecologic Procedures?

Office-based gynecologic procedures (OBGPs) are reimbursed at lower rates than similar office urology and dermatology procedures. But there is a broader "hidden curriculum" in health professions training that perpetuates clinicians' and organizations' acceptance of these patterns of poor reimbursement, disincentivizes research on improving OBGP pain management, and exacerbates tolerance of poor control of patients' OBGP pain. This article suggests strategies for equitable reimbursement that would also likely motivate better, more equitable OBGP pain control.

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来源期刊

AMA journal of ethics Social Sciences-Health (social science)

CiteScore

1.90

自引率

0.00%

发文量

146

期刊介绍： The AMA Journal of Ethics exists to help medical students, physicians and all health care professionals navigate ethical decisions in service to patients and society. The journal publishes cases and expert commentary, medical education articles, policy discussions, peer-reviewed articles for journal-based and audio CME, visuals, and more. Since its inception as an editorially-independent journal, we promote ethics inquiry as a public good.