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首页> 外文期刊>Orthopaedic Journal of Sports Medicine >Patient Perceptions of Surgeon Reimbursement for Rotator Cuff Repair
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Patient Perceptions of Surgeon Reimbursement for Rotator Cuff Repair

机译：病人对手术袖套报销的外科医生报偿的看法

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Background: Previous studies in the arthroplasty, spine, and shoulder and elbow literature have shown that patients perceive Medicare reimbursement to surgeons to be much higher than current reimbursement schedules. Purpose: To evaluate patient perceptions of surgeon reimbursement for various rotator cuff repair (RCR) procedures. Study Design: Cross-sectional study. Methods: We surveyed 153 patients who presented to a single surgeon’s orthopaedic sports medicine clinic between October 2016 and March 2017. Patients with a new complaint of hip or knee pain, those with a new complaint of shoulder pain, or those who had undergone shoulder surgery 1 year or more prior to their current visit were included. Patients were asked how much they thought surgeons should be reimbursed for RCR procedures, including arthroscopic repair of a simple tear and a massive tear as well as open repair of an acute tear and a chronic tear. They were also asked to estimate how much they thought surgeons were reimbursed by Medicare for these procedures. They were then given actual Medicare reimbursement rates for these procedures and asked whether they believed surgeons should be reimbursed that amount. Results: For arthroscopic repair of a rotator cuff tear, patients believed that surgeons should receive a mean (±SEM) reimbursement of US$5645 ± $442. This was significantly more than their estimate of what surgeons were actually reimbursed by Medicare ($3644 ± $408; P = .001). Patients also believed that surgeons should be reimbursed more than their estimate of what surgeons were actually reimbursed for arthroscopic repair of a massive tear ($8066 ± $708 vs $4694 ± $476; P = .0001), open repair of an acute tear ($8428 ± $768 vs $4549 ± $396; P = .00001), and open repair of a chronic tear ($8902 ± $844 vs $4639 ± $438; P = .00001). Both types of patient perceptions were higher than the actual state Medicare reimbursement data for all procedures surveyed ( P & .001). Conclusion: Consistent with previous literature, patients perceive Medicare reimbursement for RCR to be higher than what surgeons are actually reimbursed. As the United States health care system enters a bundled care environment, price transparency is increasingly important. This study indicates a need for patient education on how their health care costs are allocated.
机译：背景：先前在关节置换术，脊柱以及肩肘关节文献中的研究表明，患者对医生的Medicare报销远高于当前的报销时间表。目的：评估患者对各种肩袖修复（RCR）程序的外科医生费用报销的看法。研究设计：横断面研究。方法：我们调查了2016年10月至2017年3月之间就诊于单个外科医生骨科运动医学诊所的153名患者。新发髋关节或膝关节疼痛患者，新发肩部疼痛患者或接受过肩部手术的患者包括他们这次访问之前的一年或更长时间。患者被问及他们认为外科医生应该为RCR手术报销多少费用，包括关节镜下修复简单的眼泪和大块眼泪，以及开放修复的急性眼泪和慢性眼泪。他们还被要求估计，他们认为医保可以为这些程序补偿外科医生多少费用。然后为他们提供了这些程序的实际Medicare报销费率，并询问他们是否认为外科医生应该报销该金额。结果：对于关节袖撕裂的关节镜检查，患者认为外科医生应获得平均5645±442美元的补偿。这大大超过了他们对Medicare实际报销外科医生的估计（$ 3644±$ 408; P = .001）。患者还认为外科医生应获得的报销金额要比他们估计的实际外科医生进行关节镜修复大面积撕裂的费用高（$ 8066±$ 708 vs $ 4694±$ 476; P = .0001），急性撕裂的开放修复（$ 8428±$ 768）。 vs $ 4549±$ 396; P = .00001），以及开放性修复慢性泪液（$ 8902±$ 844 vs $ 4639±$ 438; P = .00001）。对于所调查的所有程序，两种类型的患者感知均高于实际状态的Medicare报销数据（P <.001）。结论：与先前的文献一致，患者认为RCC的Medicare报销高于实际报销的外科医生。随着美国医疗保健系统进入捆绑式医疗环境，价格透明性变得越来越重要。这项研究表明需要对患者进行医疗保健费用分配的教育。

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