单一付款人医疗保健:对医生的财务影响

IF 3.4 4区 医学 Q1 HEALTH CARE SCIENCES & SERVICES
Daniel C Bryant
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引用次数: 1

摘要

当考虑到美国医疗保健系统的改革建议时,一些医生因为担心他们的报销和收入会减少而拒绝单一付款人模式(全民医疗保险或以州为基础的全民医疗保健提案)。本研究旨在量化以州为基础的计划的情况下的担忧,并在此过程中,为评估单一付款人医疗改革对医生的财务后果提供一个模板。为了将数据转化为具体的、实际的术语,我设想了一个假设的初级保健医生的实践,并在目前的多付款人系统和五个拟议的基于州的单一付款人系统中发展其合理的财务组成部分。计算显示,在评估的所有五个单一付款人计划中,假设医生的总净收入(实得工资)将超过目前的多付款人系统。无论这些结果是否适用于实际实践,他们都表明,在考虑单一付款人改革对其实践的财务影响时,医生应该考虑这种改革的所有财务后果,而不仅仅是拟议的报销水平。必须在不同的实践环境中对这些重要的财务变量进行更多的定量分析。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Single-payer Health Care: Financial Implications for a Physician
When considering proposed reforms of the U.S. health care system, some physicians dismiss the single-payer model (Medicare for All or state-based universal health care proposals) out of concern that their reimbursement and thus their income would be reduced. This study is an effort to quantitate that concern in the case of state-based plans and, in so doing, to suggest a template for evaluating the financial consequences for physicians of single-payer health care reform in general. To put the data into concrete, practical terms, I envision a hypothetical primary care physician's practice and develop its plausible financial components in the present multi-payer system and in five proposed state-based, single-payer systems. The calculations reveal that in all five single-payer plans evaluated, the hypothetical physician's Total Net Income (take-home pay) would exceed that in the current multi-payer system. Whether these results apply to actual practices or not, they suggest that, when considering the financial impact of single-payer reform on their practices, physicians should consider all the financial consequences of such reform, not just the proposed reimbursement level. More quantitative analyses of these important financial variables in different practice settings must be pursued.
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来源期刊
CiteScore
4.50
自引率
2.90%
发文量
41
审稿时长
>12 weeks
期刊介绍: The International Journal of Health Services is a peer-reviewed journal that contains articles on health and social policy, political economy and sociology, history and philosophy, ethics and law in the areas of health and well-being. This journal is a member of the Committee on Publication Ethics (COPE).
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