...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Physiotherapy theory and practice >US hospital-based direct access with radiology referral: an administrative case report
【24h】

US hospital-based direct access with radiology referral: an administrative case report

机译：基于美国医院的放射科转诊直接访问：行政病例报告

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Background and Purpose: Legislative gains in the US allow physical therapists to function in expanded scopes of practice including direct access and referral to specialists. The combination of direct access with privileges to order imaging studies directly offers a desirable practice status for many physical therapists, especially in musculoskeletal focused settings. Although direct access is legal in all US jurisdictions, institutional-based physical therapy settings have not embraced these practices. Barriers cited to implementing direct access with advanced practice are concerns over medical and administrative opposition, institutional policies, provider qualifications and reimbursement. This administrative case report describes the process taken to allow therapists to see patients without a referral and to order diagnostic imaging studies at an academic medical center. Nine-month implementation results show 66 patients seen via direct access with 15% referred for imaging studies. Claims submitted to 20 different insurance providers were reimbursed at 100%. Discussion: While institutional regulations and reimbursement are reported as barriers to direct access, this report highlights the process one academic medical center used to implement direct access and advanced practice radiology referral by updating policies and procedures, identifying advanced competencies and communicating with necessary stakeholder groups. Favorable reimbursement for services is documented.
机译：背景和目的：美国的立法成就使物理治疗师能够在扩大的实践范围内发挥作用，包括直接接触和转介给专家。直接访问与特权以进行影像学研究相结合，直接为许多物理治疗师提供了理想的实践状态，尤其是在肌肉骨骼集中的环境中。尽管直接访问在美国所有辖区中都是合法的，但基于机构的物理治疗环境并未接受这些做法。引用先进实践来实现直接访问的障碍是对医疗和行政反对，机构政策，提供者资格和报销的担忧。这份行政案例报告描述了允许治疗师不经转诊就诊患者并在学术医疗中心订购诊断性影像学检查的过程。 9个月的实施结果显示，有66例患者是通过直接通路看到的，其中15％进行了影像学研究。提交给20个不同保险提供商的索赔将获得100％的补偿。讨论：虽然据报制度法规和费用报销是直接获取的障碍，但本报告重点介绍了一个学术医学中心通过更新政策和程序，确定先进的能力并与必要的利益相关者团体进行沟通，实施直接获取和先进的放射学转诊的过程。记录了有利的服务报销。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号