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Abstract：
The orthotics and prosthetics (O&P) profession has a history of responding to market demands in a reactive rather than proactive manner. This has created significant impacts including shrinkage in scope of practice and constraint in remuneration for professional services due to a fee-for-device third party payer system. Rapid changes in technology and healthcare combined with an outdated device-centric reimbursement system are creating unprecedented challenges that threaten sustainability of the O&P profession. Hence, a reassessment of the value of O&P care, and the O&P workflow process is necessary to inform an update to the value proposition and practice model for sustainability. This article reviews key factors contributing to the current state of O&P, and potential solutions involving an update in practitioner competencies, and the care delivery model (from device-centric to client-centric and values-based). Updates could be achieved by leveraging the use of digital workflows that increase efficiencies and enhance the value of clinical outcomes. Eventually, these updates could enable the O&P profession to elevate the value proposition that aligns with its most important stakeholders: client-patients and third-party reimbursement agencies in a rapidly changing technology and healthcare landscape.
摘要：
矫形器和假肢（O＆P）行业具有以被动而非主动的方式响应市场需求的历史。这造成了重大影响，包括实践范围的缩小以及由于设备付费第三方付款人系统导致的专业服务报酬的限制。技术和医疗保健的快速变化以及过时的以设备为中心的报销系统正在带来前所未有的挑战，威胁着O＆P行业的可持续性。因此，重新评估O&P护理的价值，和O&P工作流程是必要的，以通知更新的价值主张和实践模式的可持续性。本文回顾了导致O&P现状的关键因素，以及涉及从业者能力更新的潜在解决方案，和护理交付模式（从以设备为中心到以客户为中心和基于价值）。可以通过利用数字工作流程来实现更新，从而提高效率并增强临床结果的价值。最终,这些更新可以使O＆P行业提升与其最重要的利益相关者相一致的价值主张：客户患者和第三方报销机构在快速变化的技术和医疗保健环境中。
