Neurosurgery value and quality in the context of the Affordable Care Act: a policy perspective

Richard P. Menger; Bharat Guthikonda; Christopher M. Storey; Anil Na; Matthew McGirt; Anthony Asher

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Neurosurgery value and quality in the context of the Affordable Care Act: a policy perspective

机译：经济实惠的护理法案中的神经外科价值和质量：政策观点

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Neurosurgeons provide direct individualized care to patients. However, the majority of regulations affecting the relative value of patient-related care are drafted by policy experts whose focus is typically system- and population-based. A central, prospectively gathered, national outcomes-related database serves as neurosurgery’s best opportunity to bring patient-centered outcomes to the policy arena. In this study the authors analyze the impact of the Affordable Care Act (ACA) on the determination of quality and value in neurosurgery care through the scope, language, and terminology of policy experts. The methods by which the ACA came into law and the subsequent quality implications this legislation has for neurosurgery will be discussed. The necessity of neurosurgical patient-oriented clinical registries will be discussed in the context of imminent and dramatic reforms related to medical cost containment. In the policy debate moving forward, the strength of neurosurgery’s argument will rest on data, unity, and proactiveness. The National Neurosurgery Quality and Outcomes Database (N2QOD) allows neurosurgeons to generate objective data on specialty-specific value and quality determinations; it allows neurosurgeons to bring the patient-physician interaction to the policy debate.

机译：神经外科医生向患者提供直接个性化的护理。然而，影响患者相关护理相对价值的大多数法规由政策专家起草，其重点通常是基于系统和人口的。中央，前瞻性的国家结果相关的数据库是神经外科的最佳机会，使患者集中于政策竞技场。在本研究中，作者分析了经济实惠护理法令（ACA）对通过政策专家的范围，语言和术语确定神经外科护理质量和价值的影响。将讨论ACA法律和随后的质量含义这种立法对神经外科进行的方法进行了方法。将在与医疗成本遏制有关的迫在眉睫和戏剧性的改革的背景下讨论神经外科患者导向的临床登记处的必要性。在政策辩论前进，神经外科的论点的力量将依赖于数据，团结和主动。国家神经外科质量和结果数据库（N2Qod）允许神经外科医生在特殊特定价值和质量确定的物质上产生客观数据;它允许神经外科医生将患者 - 医生的互动与政策辩论带来。

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《Neurosurgical focus》 |2015年第6期|共6页
作者
Richard P. Menger; Bharat Guthikonda; Christopher M. Storey; Anil Na; Matthew McGirt; Anthony Asher;
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Department of Neurosurgery Louisiana State University of Health Sciences Shreveport Louisiana;

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正文语种 eng
中图分类外科学;
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Affordable Care Act; health care economics; health care reform; Medicaid; National Neurosurgery Quality and Outcomes Database; outcomes research;

机译：实惠的护理法案;卫生经济学;医疗改革;医疗补助;国家神经外科素质和结果数据库;结果研究;

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Neurosurgery value and quality in the context of the Affordable Care Act: a policy perspective

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