A Resource-Based Relative Value for Clinical Research Nurses’ Workload

Lee, Sangmi; Jeong, Ihn Sook

doi:10.1177/2168479017731585

Cited by 7 publications

(15 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…(2) RBRVS payment by budgets. The RBRVS is popularly used to describe, quantify, and reimburse physician services (Hsiao and Becker, 1989;Lam and Medverd, 2013;Lee and Jeong, 2018). It was used to assign the National Essential Public Health Services Package (NEPHSP) and complementary compensation for outpatient visits and hospitalization bed days to quantify the relative work and cost, and to establish appropriate payment.…”

Section: Input-based Payments To Thcsmentioning

confidence: 99%

Realigning the provider payment system for primary health care: a pilot study in a rural county of Zhejiang Province, China

Huang²,

Wang

et al. 2020

Prim Health Care Res Dev

View full text Add to dashboard Cite

Aim: This work aimed to evaluate a pre/post-reform pilot study from 2015 to 2018 in a rural county of Zhejiang Province, China to realign the provider payment system for primary health care (PHC). Methods: Data were extracted from the National Health Financial Annual Reports for the 21 township health centers (THCs) in Shengzhou County. An information system was designed for the reform. Differences among independent groups were assessed using Kruskal–Wallis H-test. Dunn’s post hoc test was used for multiple comparisons. Differences between paired groups were tested by Wilcoxon signed-rank test. Two-tailed P < 0.05 indicated statistical significance. Data were processed and analyzed using R 3.6.1 for Windows. Findings: First, payments to THCs shifted from a “soft budget” to a mixed system of line-item input-based and categorized output-based payments, accounting for 17.54% and 82.46%, respectively, of total revenue in 2017. Second, providers were more motivated to deliver services after the reform; total volumes increased by 27.80%, 19.22%, and 30.31% for inpatient visits, outpatient visits, and the National Essential Public Health Services Package (NEPHSP), respectively. Third, NEPHSP payments were shifted from capitation to resource-based relative value scale (RBRVS) payments, resulting in a change in the NEPHSP subsidy from 36.41 to 67.35 per capita among the 21 THCs in 2017. Fourth, incentive merit pay to primary health physicians accounted for 38.40% of total salary, and the average salary increased by 32.74%, with a 32.45% increase in working intensity. A small proportion of penalties for unqualified products and pay-for-performance rewards were blended with the payments. The reform should be modified to motivate providers in remote areas. Conclusion: In the context of a profit-driven, hospital-centered system, add-on payments – including categorized output-based payments to THCs and incentive merit pay to primary care physicians (PCPs) – are probably worth pursuing to achieve more active and output/outcome-based PHC in China.

show abstract

Section: Input-based Payments To Thcsmentioning

confidence: 99%

Realigning the provider payment system for primary health care: a pilot study in a rural county of Zhejiang Province, China

Huang²,

Wang

et al. 2020

Prim Health Care Res Dev

View full text Add to dashboard Cite

show abstract

“…Une étude comparant les soins infirmiers de recherche clinique en endocrinologie, cardiologie et oncologie a montré que les approches de recherche en oncologie nécessitaient plus de temps et d'efforts et s'accompagnaient d'une intensité et d'une charge de travail plus élevées (Lee et Jeong, 2018). En outre, la même étude a également recensé que les critères d'inclusion/exclusion dans les essais oncologiques sont généralement plus complexes et peuvent nécessiter une formation avancée dans les différents tests utilisés pour la classification des maladies, la confirmation de l'admissibilité des participants et la formation liée à l'étude.…”

Section: Complexité De La Charge De Travail Et éValuationunclassified

“…En outre, la même étude a également recensé que les critères d'inclusion/exclusion dans les essais oncologiques sont généralement plus complexes et peuvent nécessiter une formation avancée dans les différents tests utilisés pour la classification des maladies, la confirmation de l'admissibilité des participants et la formation liée à l'étude. Un manque de ressources et d'appui augmente le risque d'épuisement professionnel de l'IRC en oncologie et, par conséquent, a un impact sur la satisfaction et le maintien dans l'emploi (Good, Lubejko, Humphries et Medders, 2013;Lee et Jeong, 2018;Milani et al, 2017).…”

Section: Complexité De La Charge De Travail Et éValuationunclassified

Infirmière de recherche clinique en oncologie : revue exploratoire

Hong¹,

Hayden²,

Bouchal³

et al. 2021

CONJ

View full text Add to dashboard Cite

En ce 21e siècle, le cancer est une maladie qui suscite particulièrement l’attention en raison de sa complexité ainsi que des impacts physiques, émotionnels et financiers sur notre vie. L’attention portée à la recherche et les investissements dans le traitement contre le cancer en font la maladie la plus étudiée dans les essais cliniques à l’échelle mondiale. Les infirmières de recherche clinique font partie de l’équipe de recherche en oncologie et sont un élément fondamental de réussite des essais. Leurs relations directes avec les participants d’une étude de recherche sont essentielles pour les activités des essais cliniques en première ligne. De façon générale, l’afflux et la complexité des essais cliniques en oncologie ont transformé la pratique infirmière en oncologie et ont mené à la création de la sous-spécialité unique qu’est l’infirmière de recherche clinique en oncologie. La présente revue exploratoire s’est penchée sur le rôle et la pratique futurs de l’infirmière de recherche clinique.

show abstract

“…In 1989, Professor Xiao of Harvard University established a Resource-Based Relative Value Scale (RBRVS) by which to estimate the price of more than 7,000 medical service items. Subsequently, the RBRVS model was widely used by other countries (9)(10)(11)(12)(13). In 2006, the United States introduced multiple procedures for payment reduction (MPPR).…”

Section: Introductionmentioning

confidence: 99%

Performance Comparison of Public Hospitals Between 2014 and 2018 in Different Regions of Guangdong Province, China, Following 2017 Medical Service Price Reforms

Weng

Feng

Lin

et al. 2021

Front. Public Health

View full text Add to dashboard Cite

This study analyzed performance of public hospitals and regional differences in performance following reform of medical service prices in Guangdong province, China. From three cities in four regions, we randomly selected a total of 12 traditional Chinese medicine hospitals and 12 general tertiary hospitals. Six questionnaires were completed by the hospitals, using 2014–2018 internal data. Principal components analysis was used to compare performances of the hospitals and regions following price reform. The extent to which medical service prices were adjusted varied considerable for different procedures in the same region and for the same category of procedures among regions. After reform, compensation for medical services in public hospitals reached the target of 80%, except in the Western region. However, annual growth of costs to patients was generally above 4%; the burden on patients was not alleviated by fee control. Reforms were more effective for comprehensive than Chinese traditional medicine hospitals. Performance scores of general hospitals in the Pearl River Delta, Eastern, Western, and Northern regions were 1.24, 1.16, −0.22, and −1.01, respectively. This is consistent with ranking by level of economic development of each region. The government should implement a regional medical service pricing mechanism. Additionally, comprehensive and traditional Chinese medicine hospitals should each have appropriate pricing policies. Future policies should focus on controlling costs incurred by patients.

show abstract

A Resource-Based Relative Value for Clinical Research Nurses’ Workload

Cited by 7 publications

References 14 publications

Realigning the provider payment system for primary health care: a pilot study in a rural county of Zhejiang Province, China

Realigning the provider payment system for primary health care: a pilot study in a rural county of Zhejiang Province, China

Infirmière de recherche clinique en oncologie : revue exploratoire

Performance Comparison of Public Hospitals Between 2014 and 2018 in Different Regions of Guangdong Province, China, Following 2017 Medical Service Price Reforms

Contact Info

Product

Resources

About