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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Patient Perception of Reimbursement for Arthroscopic Meniscectomy and ACL Reconstruction
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Patient Perception of Reimbursement for Arthroscopic Meniscectomy and ACL Reconstruction

机译：病人对关节镜半月板切除术和ACL重建报销的看法

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Objectives: Healthcare policy changes and decreases in Medicare physician reimbursement continue to change the landscape of healthcare. Historically, patient perceptions of surgeon reimbursement have been exaggerated compared to actual reimbursement. Currently there is limited evidence for patient perception for arthroscopic meniscectomy and ACL reconstruction. The purpose of this study was to evaluate patient perception of physician reimbursement for arthroscopic meniscectomy and ACL reconstruction and to compare health care perceptions between urban and suburban clinics. Methods: Surveys were given to 231 consecutive patients, 127 in an urban clinic and 104 in a suburban clinic. Patients were asked their estimation of reasonable reimbursement for arthroscopic meniscectomy and ACL reconstruction as well as their perception on actual Medicare reimbursement to physicians. They were also asked how much would they be willing to pay out of pocket for the procedures. After revealing actual reimbursement rates, patients were asked if reimbursement levels were appropriate, whether surgeon subspecialty training was important, and if additional compensation should be associated with subspecialty training. Survey responses were compared with respondents in an urban versus a suburban setting as well as amongst income and education level. Results: Patients on average reported surgeons should receive $8,096 for a meniscectomy and $11,794 for an ACL reconstruction, 14 times and 11 times as much as actually reimbursed, respectively. Patients estimated that Medicare paid physicians $5,442 for a meniscectomy and $6,667 for an ACL reconstruction. Patients were willing to pay $2,286 out of pocket for a meniscectomy and $11,793 for an ACL reconstruction. Sixty five percent of patients believed reimbursement for meniscectomy was too low and 57% of patients believe reimbursement for ACL reconstruction was too low. Less than 2% of patients believed physician salaries should be cut, whereas 75% believed physicians should be paid extra for sub-specialty training. There were no differences in payment perception between urban and suburban settings. Conclusion: Patients perceived the values of meniscectomy and ACL reconstruction were substantially higher than current Medicare reimbursement. Majority of patients believed that the current reimbursement is too low and patients on average would be willing to pay more out of pocket than is currently reimbursed.
机译：目标：医疗保健政策的变化和医疗保险医生报销的减少继续改变医疗保健的格局。从历史上看，与实际报销相比，患者对外科医生报销的看法被夸大了。目前，对于关节镜半月板切除术和ACL重建的患者知觉有限。这项研究的目的是评估患者对关节镜半月板切除术和ACL重建的医生报销的看法，并比较城市和郊区诊所之间的医疗保健看法。方法：对231例连续患者进行了调查，其中城市诊所127例，郊区诊所104例。要求患者评估关节镜半月板切除术和ACL重建的合理报销以及对医生实际报销Medicare的看法。他们还被问及愿意为这些程序支付多少费用。在显示实际报销率之后，询问患者报销水平是否合适，外科医生亚专科培训是否重要以及亚专科培训是否应增加额外的报酬。在城市与郊区以及收入和教育水平之间，将调查的回答与受访者进行了比较。结果：平均而言，报告外科医生的患者应接受半月板切除术的手术费用为8,096美元，进行ACL重建术的手术费用为11,794美元，分别是实际报销金额的14倍和11倍。患者估计，Medicare支付给医生的半月板切除术费用为5,442美元，ACL重建费用为6,667美元。患者愿意为半月板切除术自掏腰包支付2,286美元，对于ACL重建愿意支付11,793美元。 65％的患者认为半月板切除术的报销过低，而57％的患者认为ACL重建的报销过低。不到2％的患者认为应削减医师薪水，而75％的医师认为应为亚专业培训加薪。在城市和郊区之间，人们对支付的看法没有差异。结论：患者认为半月板切除术和ACL重建的价值大大高于当前的Medicare报销。大多数患者认为当前的报销额过低，患者平均愿意支付比当前报销额更多的费用。

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