Comparative changes in treatment practices and clinical outcomes following implementation of a prospective payment system: the STEPPS study

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• 作者：Keri L Monda ; Parveen Nedra Joseph ; Peter J Neumann ; Brian D Bradbury…
• 关键词：Anemia management ; Clinical care indicators ; Dialysis ; Prospective Payment System ; Reimbursement ; Small dialysis organization
• 刊名：BMC Nephrology
• 出版年：2015
• 出版时间：December 2015
• 年：2015
• 卷：16
• 期：1
• 全文大小：766 KB
• 刊物主题：Nephrology; Internal Medicine;
• 出版者：BioMed Central
• ISSN：1471-2369

文摘

Background The aim of the US dialysis Prospective Payment System bundle, launched in January 2011, was reduction and more accurate prediction of costs of services, whilst maintaining or improving patient care. Dialysis facilities could either adopt the bundle completely (100%) in the first year of launch, or phase-in (25%) over four years. Differences in practice patterns and patient outcomes were hypothesized to occur in facilities that phased-in 25% compared to those that did not.