G2TT
来源类型Research Reports
规范类型报告
DOIhttps://doi.org/10.7249/RR2748
来源IDRR-2748-DIR
Access to Medical Treatment for Injured Workers in California: Year 2 Annual Report
Kandice A. Kapinos; Madeline B. Doyle; Mark Barrett; Cheryl K. Montemayor; Andrew W. Mulcahy; Denise D. Quigley
发表日期2018
出版者RAND Corporation
出版年2018
页码81
语种英语
结论

The physicians survey is nonrepresentative but offers insight into areas for improvement

  • The physician survey in spring 2017 yielded a low response rate and a sample of 225 WC providers.
  • The most common reasons for limiting new WC patients were (1) issues with authorizations and utilization review (UR) denials (46 percent), (2) paperwork and/or administrative issues (39 percent), and (3) payment levels (23 percent).
  • The majority of physicians reported requesting authorization for treatment, but most reported lacking easy access to the medical treatment guidelines.

Medical Provider Networks (MPNs) include many of the same physicians

  • An analysis of 146 MPNs participating in the California WC system found an average network size of 6,317 providers in 4,176 locations.
  • Provider participation in an MPN does not necessarily increase the underlying supply of providers available to injured workers.

Trends in providers, utilization, and payments remain relatively stable

  • The number of providers and the number of total claims filed each year was relatively stable: 69,728 providers and 846,649 medical claims in 2012 relative to 72,790 providers and 843,162 medical claims in 2015.
  • Utilization and payments were relatively stable across most provider types, except acupuncturists, occupational medicine physicians, and physical therapists, all of whom experienced statistically significant increases in the number of claims per provider, the number of services per claim, and the total annual WC reimbursements.
  • WC bills decreased for prescription drugs, medicine, surgery and durable medical equipment, while the bills for "other or unknown" service types increased.
摘要
  • Because of the inherent difficulties in obtaining a representative sample of physicians and adequate response rates, researchers recommend that future studies of physicians in the WC system consider alternative approaches to gathering important contextual details and physician perceptions (i.e., qualitative interviews, case studies in areas where there are known issues, or focus groups).
  • Further research on the role of MPNs in affecting access for injured workers is necessary.
主题California ; Health Care Access ; Workers' Compensation
URLhttps://www.rand.org/pubs/research_reports/RR2748.html
来源智库RAND Corporation (United States)
引用统计
资源类型智库出版物
条目标识符http://119.78.100.153/handle/2XGU8XDN/108706
推荐引用方式
GB/T 7714
Kandice A. Kapinos,Madeline B. Doyle,Mark Barrett,et al. Access to Medical Treatment for Injured Workers in California: Year 2 Annual Report. 2018.
条目包含的文件
文件名称/大小 资源类型 版本类型 开放类型 使用许可
1545918670902.jpg(9KB)智库出版物 限制开放CC BY-NC-SA浏览
RAND_RR2748.pdf(3099KB)智库出版物 限制开放CC BY-NC-SA浏览
个性服务
推荐该条目
保存到收藏夹
导出为Endnote文件
谷歌学术
谷歌学术中相似的文章
[Kandice A. Kapinos]的文章
[Madeline B. Doyle]的文章
[Mark Barrett]的文章
百度学术
百度学术中相似的文章
[Kandice A. Kapinos]的文章
[Madeline B. Doyle]的文章
[Mark Barrett]的文章
必应学术
必应学术中相似的文章
[Kandice A. Kapinos]的文章
[Madeline B. Doyle]的文章
[Mark Barrett]的文章
相关权益政策
暂无数据
收藏/分享
文件名: 1545918670902.jpg
格式: JPEG
文件名: RAND_RR2748.pdf
格式: Adobe PDF

除非特别说明,本系统中所有内容都受版权保护,并保留所有权利。