Miguel Yaport, MD
Fellow in Critical Care at Brigham
and Women’s Hospital
PGY6
02/02/2020
 |
| Surgical and Anesthesiology Intensivists enjoy learning how to advance value based healthcare in the sickest patients. |
The Value Based Health Care delivery
course provided insight into the business side of medicine, and how value is
being defined. There were several important lessons gleamed from the course,
particularly how there is a big gap between measuring outcomes, measuring costs
and arbitrary expenses in healthcare. Medical education focuses on the
management of disease, but does not focus much on payment, reimbursement or
patient centered outcomes. Equally as important a lesson is the fact that
economists view health care delivery as a purely transactional encounter. It is
important to evaluate how the field of medicine has changed from initially
focusing on survival and quantity, and now that medical care has advanced
substantially, focusing on quality of life. With this in mind, it is important
to be aware of the factors that are being incorporated into reimbursement
models and legislation, so that physicians can participate in these
conversations and advocate for patients as well as providers. Even more
concerning is that nobody has given any deep thought about medical training,
which is at risk of being “defunded”. I anticipate remaining invested in the
analysis of patient outcomes and improving health care delivery, though the
medium will depend on the options available to me in my next job.
No comments:
Post a Comment