Lack of Awareness of Reimbursement and Compensation Models Among Cardiothoracic Surgery Trainees.
Lack of Awareness of Reimbursement and Compensation Models Among Cardiothoracic Surgery Trainees.
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DOI：
10.1016/j.athoracsur.2021.07.078
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发表时间：
2022-06
期刊：
影响因子：
--
通讯作者：
Bowdish ME
中科院分区：
文献类型：
--
作者：
Loo MK;Cohen RG;Baker CJ;Starnes VA;Bowdish ME
本研究的目的是确定学员在报销和补偿方面的知识差距，确定理解这些主题的重要性，并探讨胸外科课程是否需要额外的教育材料。胸外科住院医师协会 (TSRA) 执行委员会选定了该研究提案，并向 531 名 ACGME 心胸外科学员分发了匿名电子调查。进行了标准描述性统计和回归分析。共收集到 114 份答复（答复率为 21.5%）。大多数学员对主治外科医生如何报销知之甚少或根本不了解（n=74，69%）。大多数学员表示对绩效薪酬（n=73，67%）、捆绑护理（n=82，75%）或基于价值的报销（n=84，77%）知之甚少或一无所知。只有约 20% 的受训者能够准确估计三种常见心胸外科手术的外科医生报销额，与真实报销值的误差在 20% 以内，而约 30% 的受训者的准确率与真实报销值的误差在 50% 以内。没有发现受访者特征与或多或少准确的报销响应相关。此外，81% 的学员回答说，在培训结束时，了解外科医生报销非常重要或极其重要 (n=87)，90% 的学员有些同意或强烈同意将这些主题纳入胸外科课程 (n=95)。尽管承认了解医生补偿和报销的重要性，但心胸外科学员并不了解当前模型的工作原理。这项研究表明需要为全国学员提供该领域的简洁课程。
The objective of this study was to identify trainee knowledge gaps in reimbursement and compensation, determine the perceived importance of understanding these topics, and to explore if the Thoracic Surgery Curriculum needs additional educational material. The Thoracic Surgical Residents Association (TSRA) Executive committee selected the research proposal and distributed an anonymous electronic survey to 531 ACGME cardiothoracic surgery trainees. Standard descriptive statistics and regression analyses were performed. 114 responses were collected (response rate 21.5%). Most trainees understand little or not at all about how attending surgeons are reimbursed (n=74, 69%). Most trainees reported knowing little or nothing about pay-for-performance compensation (n=73, 67%), bundled care (n=82, 75%) or value-based reimbursement (n=84, 77%). Only approximately 20% of trainees were accurate in estimating surgeon reimbursement for three common cardiothoracic surgery procedures to within 20% of the true reimbursement value, while approximately 30% were accurate to within 50% of the true reimbursement value. No respondent characteristics were found to be associated with a more or less accurate reimbursement response. Additionally, 81% of trainees responded that by the conclusion of training, understanding surgeon reimbursement is very important or extremely important (n=87) and 90% of trainees either somewhat agree or strongly agree with including these topics in the Thoracic Surgical Curriculum (n=95). Despite acknowledging the importance of understanding physician compensation and reimbursement, cardiothoracic surgery trainees do not understand how the current models work. This study exemplifies the need for a succinct curriculum in this domain for trainees nationwide.
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影响因子：
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作者：
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通讯作者：
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影响因子：
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DOI：
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发表时间：
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期刊：
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影响因子：
--
作者：
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通讯作者：
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DOI：
10.1016/j.jtcvs.2017.07.035
发表时间：
2018-01-01
影响因子：
6
作者：
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通讯作者：
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