Does Value Matter in Orthopaedic Trauma?: A Survey of Orthopaedic Trauma Association Members
| Autor: | A. Bandele Okelana, Sandy Vang, Melissa Albersheim, Ilexa R. Flagstad, Herman Johal, Tiffany Gorman, Harsh R. Parikh, Brian P. Cunningham |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Attitude of Health Personnel media_common.quotation_subject Reimbursement Mechanisms 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires Rest (finance) Health care Humans Medicine Orthopedics and Sports Medicine Practice Patterns Physicians' Quality of Health Care media_common Cost database Response rate (survey) 030222 orthopedics business.industry 030208 emergency & critical care medicine Health Care Costs General Medicine Evidence-based medicine Payment Orthopedics Traumatology Private practice Family medicine Surgery business Value (mathematics) |
| Zdroj: | Journal of Orthopaedic Trauma. 33:S21-S25 |
| ISSN: | 0890-5339 |
| Popis: | OBJECTIVES With value-based payment models on the horizon, this study was designed to examine the perceptions of value-based care among orthopaedic traumatologists and how they influence their practice. DESIGN Systems-based survey study. SETTING Orthopaedic Trauma Association (OTA) research surveys. PARTICIPANTS OTA members. MAIN OUTCOME MEASURE Thirty-eight-question surveys focusing on 5 areas related to value-based care: understanding value, assessing interest, barriers, perceptions around implementing value-based strategies, and policy. RESULTS Of 1106 OTA members, 252 members responded for a response rate of 22.7%. Consideration around cost was not different between hospital, academic, and private practice settings (P = 0.47). Previous reported experience in finance increased the amount surgical decision-making was influenced by cost (P < 0.01), along with reported understanding of implant costs (P < 0.01). Over half of the respondents (59.4%) believed value-based payments are coming to orthopaedic trauma. The vast majority (88.5%) believed bundled payments would be unsuccessful or only partially successful. With respect to barriers, a third of respondents (34.7%) indicated accurate cost data prevented the implementation of programs that track and maximize value, another third (31.5%) attributed it to a limited ability to collect patient-reported outcomes, and the rest (33.8%) were split between lack of institutional interest and access to funding. CONCLUSION Our study indicated the understanding of value in orthopaedic trauma is limited and practice integration is rare. Reported experience in finance was the only factor associated with increased consideration of value-based care in practice. Our results highlight the need for increased exposure and resources to changing health care policy, specifically for orthopaedic traumatologists. LEVEL OF EVIDENCE Level V. See Instructions for Authors for a complete description of levels of evidence. |
| Databáze: | OpenAIRE |
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