Abstract:
Introduction: Price transparency is a central component of the shift from volume to value in healthcare delivery. Price transparency in primary care, the most common point of contact with the healthcare system for patients in the U.S., has not been widely studied.Methods: Using an audit study across 10 states in 2016, we examined the characteristics of primary care practices that were able to provide price information for office visits and routine tests.Results: Most primary care practices were able to disclose some price information for office visits and routine tests. Results indicate that larger, integrated primary care practices in urban areas and in areas with a higher percentage of minority residents were less likely to provide prices than smaller, standalone practices.Conclusion: These findings suggest that future efforts to increase price transparency in primary care should be tailored to practice characteristics, including practice location and whether the practice is embedded in an integrated health system.
摘要:
简介:价格透明度是医疗保健服务从数量向价值转变的核心组成部分。初级保健的价格透明度,美国患者与医疗保健系统最常见的接触点,尚未被广泛研究。方法:使用2016年对10个州的审计研究,我们检查了能够为办公室就诊和常规测试提供价格信息的初级保健实践的特征。结果:大多数初级保健实践都能够为办公室就诊和常规检查披露一些价格信息。结果表明,较大的,在城市地区和少数民族居民比例较高的地区,综合初级保健做法提供价格的可能性较小,独立实践。结论:这些发现表明,未来提高初级保健价格透明度的努力应根据实践特征进行调整。包括实践的位置和实践是否嵌入在一个综合的卫生系统。