Advance care planning billing codes in patients undergoing TAVR is infrequent and associated with adverse TAVR outcomes.
Advance care planning billing codes in patients undergoing TAVR is infrequent and associated with adverse TAVR outcomes.
复制标题
接受 TAVR 患者的预先护理计划计费代码很少见，并且与不良 TAVR 结果相关。
DOI：
10.1111/jgs.18045
复制
发表时间：
2023
影响因子：
6.3
通讯作者：
Weissman,JoelS
中科院分区：
文献类型：
--
作者：
Shah,KhanjanB;Shah,SamirK;Manful,Adoma;Xiang,Lingwei;Reich,AmandaJ;Semco,RobertS;Tjia,Jennifer;Ladin,Keren;Weissman,JoelS
经导管主动脉瓣置换术（TAVR）是一种新兴技术，常用于患有多种共病的老年人群。患者医疗保健目标和偏好与实际提供的护理相一致对于考虑TAVR的患者尤为重要，因为在该老年队列中存在术后并发症风险（1）。预先护理计划（ACP）-患者或其代理人与医生，其他医疗保健提供者和家庭之间的讨论，以确定患者的目标和价值观，以指导决策-是促进这种调整的重要工具。ACP与患者满意度的提高，生命末期护理强度的降低以及其他以患者为中心的益处有关（2，3）。医疗保险和医疗补助服务中心于2016年1月1日开始报销临床医生和专职医疗人员进行ACP。我们试图了解其频率，时间，
Transcatheter aortic valve replacement (TAVR) is an emerging technology often used in a geriatric population with multiple comorbid conditions. Alignment of patient health care goals and preferences with actual care provided is particularly important for patients considering TAVR because of the risks of postoperative complications in this older cohort (1). Advance care planning (ACP)–discussions between patients or their surrogates and physicians, other health care providers, and family to determine patient goals and values to guide decision-making–is an important tool to facilitate this alignment.ACP has been associated with increased patient satisfaction, reduced intensity of care at the end of life, and other patient-centered benefits (2, 3). The Centers for Medicare and Medicaid Services began reimbursing clinicians and allied health professionals for conducting ACP on January 1, 2016. We sought to understand the frequency, timing,