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Value-Based Reimbursement: Impact of Curtailing Physician Autonomy in Medical Decision Making.
AJR Am J Roentgenol. 2016 Feb; 206(2):276-9.AA

Abstract

OBJECTIVE

In this article, we define value in the context of reimbursement and explore the effect of shifting reimbursement paradigms on the decision-making autonomy of a women's imaging radiologist.

CONCLUSION

The current metrics used for value-based reimbursement such as report turnaround time are surrogate measures that do not measure value directly. The true measure of a physician's value in medicine is accomplishment of better health outcomes, which, in breast imaging, are best achieved with a physician-patient relationship. Complying with evidence-based medicine, which includes data-driven best clinical practices, a physician's clinical expertise, and the patient's values, will improve our science and preserve the art of medicine.

Links

Publisher Full Text (DOI)

Authors+Show Affiliations

Gupta D
1 Department of Radiology, Northwestern University, Feinberg School of Medicine, Prentice Hospital, 250 E Superior St, Ste 4-2304, Chicago, IL 60611.
Karst I
1 Department of Radiology, Northwestern University, Feinberg School of Medicine, Prentice Hospital, 250 E Superior St, Ste 4-2304, Chicago, IL 60611.
Mendelson EB
1 Department of Radiology, Northwestern University, Feinberg School of Medicine, Prentice Hospital, 250 E Superior St, Ste 4-2304, Chicago, IL 60611.

MeSH

Breast NeoplasmsClinical CompetenceClinical Decision-MakingFemaleHumansOutcome and Process Assessment, Health CarePhysician-Patient RelationsProfessional AutonomyQuality of Health CareRadiologyReimbursement MechanismsValue-Based Purchasing

Pub Type(s)

Journal Article

Language

eng

PubMed ID

26797353

Citation

Gupta, Dipti, et al. "Value-Based Reimbursement: Impact of Curtailing Physician Autonomy in Medical Decision Making." AJR. American Journal of Roentgenology, vol. 206, no. 2, 2016, pp. 276-9.
Gupta D, Karst I, Mendelson EB. Value-Based Reimbursement: Impact of Curtailing Physician Autonomy in Medical Decision Making. AJR Am J Roentgenol. 2016;206(2):276-9.
Gupta, D., Karst, I., & Mendelson, E. B. (2016). Value-Based Reimbursement: Impact of Curtailing Physician Autonomy in Medical Decision Making. AJR. American Journal of Roentgenology, 206(2), 276-9. https://doi.org/10.2214/AJR.15.15370
Gupta D, Karst I, Mendelson EB. Value-Based Reimbursement: Impact of Curtailing Physician Autonomy in Medical Decision Making. AJR Am J Roentgenol. 2016;206(2):276-9. PubMed PMID: 26797353.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Value-Based Reimbursement: Impact of Curtailing Physician Autonomy in Medical Decision Making. AU - Gupta,Dipti, AU - Karst,Ingolf, AU - Mendelson,Ellen B, PY - 2016/1/23/entrez PY - 2016/1/23/pubmed PY - 2016/6/3/medline KW - breast cancer screening KW - breast imaging KW - outcome metrics KW - physician autonomy KW - value KW - value-based reimbursement KW - women's imaging SP - 276 EP - 9 JF - AJR. American journal of roentgenology JO - AJR Am J Roentgenol VL - 206 IS - 2 N2 - OBJECTIVE: In this article, we define value in the context of reimbursement and explore the effect of shifting reimbursement paradigms on the decision-making autonomy of a women's imaging radiologist. CONCLUSION: The current metrics used for value-based reimbursement such as report turnaround time are surrogate measures that do not measure value directly. The true measure of a physician's value in medicine is accomplishment of better health outcomes, which, in breast imaging, are best achieved with a physician-patient relationship. Complying with evidence-based medicine, which includes data-driven best clinical practices, a physician's clinical expertise, and the patient's values, will improve our science and preserve the art of medicine. SN - 1546-3141 UR - https://www.unboundmedicine.com/medline/citation/26797353/Value_Based_Reimbursement:_Impact_of_Curtailing_Physician_Autonomy_in_Medical_Decision_Making_ DB - PRIME DP - Unbound Medicine ER -