Effect of price capitation on implant selection for primary total hip and knee arthroplasty
| Autor: | Mario Farias-Kovac, Kirtishri Mishra, Caleb R. Szubski, Wael K. Barsoum, Alison K. Klika, Mark Hebeish |
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| Rok vydání: | 2014 |
| Předmět: |
musculoskeletal diseases
Male medicine.medical_specialty medicine.medical_treatment Arthroplasty Replacement Hip Total hip replacement Total knee arthroplasty Hospitals Community Practice change Medicine Humans Orthopedics and Sports Medicine Economics Hospital Arthroplasty Replacement Knee health care economics and organizations Aged Retrospective Studies Academic Medical Centers Capitation business.industry Prostheses and Implants Middle Aged musculoskeletal system Arthroplasty Hospitals United States surgical procedures operative Private practice Physical therapy Female Implant Capitation Fee business Total hip arthroplasty |
| Zdroj: | The Journal of arthroplasty. 29(7) |
| ISSN: | 1532-8406 |
| Popis: | While price capitation strategies may help to control total hip (THA) and knee arthroplasty (TKA) implant costs, its effect on premium implant selection is unclear. Primary THA and TKA cases 6 months before and after capitated pricing implementation were retrospectively identified. After exclusions, 716 THA and 981 TKA from a large academic hospital and 2 midsize private practice community hospitals were reviewed. Academic hospital surgeons increased premium THA implant usage (66.5% to 70.6%; P = 0.28), while community surgeons selected fewer premium implants (36.4%) compared to academic surgeons, with no practice change (P = 0.95). Conversely, premium TKA implant usage significantly increased (73.4% to 89.4%; P < 0.001) for academic surgeons. Community surgeons used premium TKA implants at greater rates in both periods, with all cases having ≥1 premium criterion. |
| Databáze: | OpenAIRE |
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