American Medical Home Runs
American Medical Home Runs
复制标题
DOI：
10.1377/hlthaff.28.5.1317
复制
发表时间：
2009-09-01
期刊：
影响因子：
9.7
通讯作者：
Gilbertson, Elizabeth
中科院分区：
文献类型：
--
作者：
Milstein, Arnold;Gilbertson, Elizabeth
美国的四家初级保健机构构成了“医疗本垒打”，因为他们的病人每年比地区同行治疗的病人少花费15- 20%（风险调整后）的医疗保健总支出，没有证据表明质量下降。这些网站在美国的支付环境下取得了这样的结果，这种环境通常会惩罚那些为防止昂贵的短期健康危机而投资的医生。如果这四个网站的成分和成就得到推广，在可预见的未来，没有保险和没有保险的低收入美国人可以完全覆盖，而不会增加医疗支出或降低医疗质量。作为交换，健康福利的赞助者将乐意支持额外的初级保健医生报酬。[卫生Aff (Millwood).]2009年;28日(5):1317 - 26;10.1377 / hlthaff.28.5.1317]
Four primary care sites in the United States constitute "medical home runs" because their patients incur 15-20 percent less (risk-adjusted) total health care spending per year than patients treated by regional peers, without evidence of reduced quality. The sites achieved this result in a U. S. payment environment that usually penalizes physicians who invest to prevent costly near-term health crises. If the ingredients and accomplishments of these four sites spread, under- and uninsured lower-income Americans could be fully covered in the foreseeable future without increased health spending or lower quality of care. In exchange, sponsors of health benefits would gladly support additional primary care physician payment. [ Health Aff (Millwood). 2009; 28(5):1317-26; 10.1377/hlthaff.28.5.1317]