Capitated reimbursement for medical services returns control of the patient to the surgeon.

Abstract:

:Limiting the spending on healthcare services is a societal necessity, whether externally budget-driven with reduced fee for service or salary, or internally controlled through prospective payment capitation. No reimbursement system is inherently good or bad. Ethical physicians will place patient well-being first and focus on the delivery of quality care, regardless of the payment method. There are several methods for the distribution of capitation payments to physicians, each with different levels of financial incentive to provide services. In one fully evolved embodiment of capitation, a payer carves out the entire orthopedic disease segment and contracts with an orthopedic organization for all musculoskeletal services within a defined geographic region. This form of capitation offers the advantage of returning control of patient care to the orthopedic surgeon.

journal_name

Orthopedics

journal_title

Orthopedics

authors

Schmalzried TP,Luck JV Jr

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

620, 629-31

issue

6

eissn

0147-7447

issn

1938-2367

journal_volume

21

pub_type

杂志文章
  • Managing the risk of thrombosis in the perioperative period in patients undergoing orthopedic and trauma surgery with low-molecular-weight heparin: enoxaparin.

    abstract::ABSTRACTPatients undergoing arthroplastic surgery of the lower limbs and those with multiple injuries have a high risk of thromboembolism. Enoxaparin is a highly effective antithrombotic drug that is well tolerated and without the need for monitoring. Numerous controlled trials in these patient groups have demonstrate...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19970202-07

    authors: Lassen MR,Borris LC

    更新日期:1997-02-01 00:00:00

  • Pigmented villonodular synovitis: a clinical analysis of twenty-four cases treated at Henry ford hospital.

    abstract::This article describes the clinical findings, roentgenographic manifestations, gross and microscopic pathology, treatment, and results of 24 cases of pigmented villonodular synovitis treated at Henry Ford Hospital over a period of 25 years. We conclude that synovectomy is the treatment of choice, and we have experienc...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19800801-05

    authors: Wu KK,Ross PM,Guise ER

    更新日期:1980-08-01 00:00:00

  • Slipped capital femoral epiphysis: long-term results of an abandoned technique.

    abstract::Sixty-two (11 women and 51 men) of 76 consecutive patients treated between January 1960 and December 1979 with percutaneous pinning, traction, and ambulation in Thomas splints for slipped capital femoral epiphyses (physiolysis colli femoris; PCF) were re-examined radiologically and clinically to evaluate long-term res...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Steinke MS,Mikkelsen SS,Jensen HP,Thomsen PB

    更新日期:1991-02-01 00:00:00

  • The role of anterior surgery in the treatment of thoracolumbar fractures.

    abstract::Operative treatment of thoracolumbar burst fractures or fracture dislocations is a relatively modern development. Anterior decompression and stabilization play a significant role in the treatment of thoracolumbar burst fractures. This article reviews the clinical indications and describes a one-staged operative techni...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: McGuire RA Jr

    更新日期:1997-10-01 00:00:00

  • Total wrist arthroplasty.

    abstract::With the advent of newer prosthetic designs, total wrist arthroplasty provides a functional range of motion, better wrist balance, reduced risk of loosening, and better implant stability. ...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Adams BD

    更新日期:2004-03-01 00:00:00

  • Is it possible to train patients to limit weight bearing on a lower extremity?

    abstract::Orthopedic patients are often instructed on how much weight to bear on an injured or postoperative extremity. Although specific weight-bearing instructions are given to a majority of lower-extremity orthopedic patients, the ability of patients to comply with these instructions is questioned in the medical literature. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20111122-14

    authors: Hustedt JW,Blizzard DJ,Baumgaertner MR,Leslie MP,Grauer JN

    更新日期:2012-01-16 00:00:00

  • Medical management of fragility fractures of the distal radius.

    abstract::Fragility fractures of the distal radius represent an opportunity to diagnose and treat osteoporosis before further fractures occur. The goal of this study was to determine the prevalence of prescriptions for calcium/vitamin D supplementation and the prevalence of dual-energy x-ray absorptiometry (DEXA) scans in patie...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20141124-53

    authors: Morgan EN,Crawford DA,Scully WF,Noce NJ

    更新日期:2014-12-01 00:00:00

  • Pediatric Supracondylar Humerus Fracture Outcomes by Pediatric and Nonpediatric Orthopedists.

    abstract::Pediatric supracondylar humerus fractures are common and often require surgical intervention by an orthopedic surgeon, who may or may not have pediatric subspecialty training. This study used a large national database to assess for potential differences in perioperative outcomes for pediatric supracondylar humerus fra...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20201210-03

    authors: Mets EJ,Grauer JN,McLynn RP,Frumberg DB

    更新日期:2020-12-14 00:00:00

  • Bilateral simultaneous femoral diaphyseal fractures in a patient with long-term ibandronate use.

    abstract::Bisphosphonates are the most common medication used to treat patients with documented osteoporosis. Recently, reports have associated long-term bisphosphonate use with low-energy femur fractures. While no definitive mechanism has been associated, bisphosphonate use has been strongly implicated. This article presents t...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100826-31

    authors: Patel VC,Lazzarini AM

    更新日期:2010-10-11 00:00:00

  • The risk of venous thromboembolism in the orthopedic patient: epidemiological and physiological data.

    abstract::ABSTRACTVenous thromboembolism is responsible for 500,000 deaths annually in industrialized countries. It is probably the most common preventable cause of death in elective orthopedic surgery patients. Rates of deep vein thrombosis (DVT) and fatal pulmonary embolism (PE) in unprotected orthopedic patient populations a...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19970202-05

    authors: Paiement GD,Mendelsohn C

    更新日期:1997-02-01 00:00:00

  • Short-term Versus Long-term Outcomes After Open or Percutaneous Release for Trigger Thumb.

    abstract::Good outcomes have been reported after both open and percutaneous surgery to release trigger thumb. This study evaluated short-term and long-term outcomes after treatment of trigger thumb with open or percutaneous release. A total of 126 trigger thumbs in 107 patients were reviewed from 2009 to 2012. Short-term (3 mon...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20161017-06

    authors: Huang HK,Wang JP,Lin CJ,Huang YC,Huang TF,Chang MC

    更新日期:2017-01-01 00:00:00

  • Anterior versus posterior approach in the treatment of chronic thoracolumbar fractures.

    abstract::The purpose of this study was to compare the results of anterior approach vs posterior approach in the treatment of chronic thoracolumbar fractures. A total of 36 patients with chronic thoracolumbar fractures were divided into 2 groups. Group A was treated by an anterior approach and group B was treated by a posterior...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20120123-05

    authors: Chen ZW,Ding ZQ,Zhai WL,Lian KJ,Kang LQ,Guo LX,Liu H,Lin B

    更新日期:2012-02-17 00:00:00

  • Bilateral deltoid myositis ossificans in a weightlifter using anabolic steroids.

    abstract::A 40-year-old male weightlifter presented with a 6-month history of a painless mass in the right deltoid. He had no history of trauma to the shoulder other than an arthroscopic rotator cuff repair a few weeks earlier. Physical examination showed a firm, nontender mass located longitudinally and coinciding with the del...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140825-92

    authors: Schultzel MM,Johnson MH,Rosenthal HG

    更新日期:2014-09-01 00:00:00

  • Esophageal obstruction secondary to diffuse idiopathic skeletal hyperostosis.

    abstract::Diffuse idiopathic skeletal hyperostosis is a disorder of skeletal tissues which most commonly effects elderly white males. Characteristic radiographic findings involve the production of large juxtacortical osteophytes in the absence of degenerative joint changes. The thoracic spine is the most frequently involved por...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Burkus JK

    更新日期:1988-05-01 00:00:00

  • Clinical evaluation of rhBMP-2/ACS in orthopedic trauma: a progress report.

    abstract::Recombinant human bone morphogenetic protein-2 (rhBMP-2) is an osteoinductive protein that plays a pivotal role in bone growth and regeneration. Studies conducted in many mammalian species and, most recently, human clinical studies, have provided definitive evidence of the ability of rhBMP-2 to induce bone. The findin...

    journal_title:Orthopedics

    pub_type: 临床试验,杂志文章,多中心研究

    doi:

    authors: Riedel GE,Valentin-Opran A

    更新日期:1999-07-01 00:00:00

  • Autogenous sural nerve grafts: a harvesting technique.

    abstract::Sural nerve grafts have applicability in many facets of reconstructive surgery. A harvesting technique is described which utilizes a tendon stripper introduced through a single distal incision. This method provides adequate length of autogenous graft material without significant difficulty or morbidity. ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Hankin FM,Jaeger SH,Beddings A

    更新日期:1985-09-01 00:00:00

  • Anatomic and radiographic analysis of arthroscopic tack placement into the anteroinferior glenoid.

    abstract::Tack location within the anteroinferior aspect of the glenoid when performing simulated repairs of anteroinferior capsulolabral avulsions (Bankart lesions) was evaluated anatomically and radiographically. Arthroscopy was performed on six fresh-frozen cadaveric shoulders, and bioabsorbable tacks were placed through an ...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Ilahi OA,Younas SA,Trusler ML,Espiritu MT

    更新日期:2003-05-01 00:00:00

  • Surgical treatment of developmental hip dislocation in children aged 1 to 3 years: a mean 18-year, 9-month follow-up study.

    abstract::Forty-six consecutive patients with 57 congenitally dislocated hips were treated with open reduction and femoral or acetabular procedures as indicated. Patient age ranged from 12 to 36 months at the time of surgery. We evaluated the outcome of 38 of the 46 patients (83%) with 47 hips (83%) at a mean follow-up of 18 ye...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100129-05

    authors: Varner KE,Incavo SJ,Haynes RJ,Dickson JH

    更新日期:2010-03-01 00:00:00

  • Pain control infusion pumps: a prospective randomized evaluation in bilateral total knee arthroplasty.

    abstract::We prospectively monitored pain scores on 24 patients who underwent bilateral total knee arthroplasty (TKA). Patients were blinded to receiving either a functional or placebo pain control infusion pumps. After 3 days, pump volume was recorded, and patients were asked to identify which knee they believed received the f...

    journal_title:Orthopedics

    pub_type: 杂志文章,随机对照试验

    doi:10.3928/01477447-20110124-18

    authors: Argintar E,Armstrong B,Zawadsky M,Evans B,Romness D

    更新日期:2011-03-01 00:00:00

  • Distal radius fractures in adults.

    abstract::Although distal radius fractures are a common injury in the elderly and young adult population, the classification, treatment options, and assessment of outcomes of these fractures remain controversial. Since there is no uniform fracture classification system, it is difficult to compare studies. An evidence-based mode...

    journal_title:Orthopedics

    pub_type: 杂志文章,评审

    doi:

    authors: Krishnan J

    更新日期:2002-02-01 00:00:00

  • Total hip arthroplasty in a patient with a contralateral hemipelvectomy.

    abstract::Hemipelvectomy is a rare procedure performed for tumor resection or trauma. The limb may be spared, and the patients often require extensive rehabilitation. We report the outcome of a total hip arthroplasty (THA) in a patient with endstage hip arthritis in a high dislocated hip contralateral to a remote, traumatic hem...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Goyal R,Taunton MJ,Trousdale RT

    更新日期:2009-02-01 00:00:00

  • Analysis of mechanical factors affecting fixation of olecranon fractures.

    abstract::Fractures of the most distal part of the olecranon process differ from more proximal fractures because a plane of instability exists between the humerus and the radial head. Thus, the fixation of these fractures must resist the deforming forces of the forearm flexor muscles. The investigators fixed 10 paired cadaver u...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Horner SR,Sadasivan KK,Lipka JM,Saha S

    更新日期:1989-11-01 00:00:00

  • The use of osteotaxis as a limb salvage procedure in severe compound injuries of the upper extremity.

    abstract::Osteotaxis has been proven to offer a means for limb stabilization even in the most severe cases of upper extremity injuries, especially in cases where extensive soft tissue injuries contraindícate internal fixation or plaster cast treatment. Our policy has been to use the osteotaxis treatment only in these severe cas...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19840401-16

    authors: Santavirta S,Karaharju E,Korkala O

    更新日期:1984-04-01 00:00:00

  • Finite element analysis of 3 posterior fixation techniques in the lumbar spine.

    abstract::This study compared the biomechanics of 3 fixation techniques: bilateral pedicle screw (BPS) fixation, unilateral pedicle screw (UPS) fixation, and UPS supplemented with translaminar facet screw (UPS+TLFS) fixation. The study was conducted in an L3-L5 finite element model. Three different finite element models were cr...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140430-54

    authors: Gong Z,Chen Z,Feng Z,Cao Y,Jiang C,Jiang X

    更新日期:2014-05-01 00:00:00

  • Unicompartmental and total knee arthroplasty in the over 70 population.

    abstract::This retrospective study compares the short-term outcomes of small-incision unicompartmental knee arthroplasty (41 patients) with standard total knee arthroplasty (TKA) (50 patients) in 91 consecutive patients older than 70 years. Knee Society Scores and range of motion (ROM) were assessed preoperatively, at 6 weeks a...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20100722-05

    authors: Fisher DA,Dalury DF,Adams MJ,Shipps MR,Davis K

    更新日期:2010-09-07 00:00:00

  • Total joint replacement in patients with dementia syndromes: a report of thirteen cases.

    abstract::The hospital course and clinical outcomes of 14 joint replacement surgeries in 13 patients with dementia syndromes were evaluated. Eight patients were disoriented postoperatively. Complications included slow progress in physical therapy, getting out of bed unattended, aggressive behavior, pulling out an intravenous or...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:

    authors: Ritter MA,Harty LD

    更新日期:2004-05-01 00:00:00

  • Hematogenous proteus mirabilis osteomyelitis.

    abstract::Hematogenous gram negative infection of the long bones can present a confusing clinical picture that may delay treatment or lead to an inappropriate choice of initial treatment, and thereby compromise the resuit. This report emphasizes the common clinical features of this condition: previous urinary or gastrointestina...

    journal_title:Orthopedics

    pub_type: 社论

    doi:10.3928/0147-7447-19830701-09

    authors: Thorpe MA,Buckwalter JA

    更新日期:1983-07-01 00:00:00

  • The Effect of Psychosensory Therapy on Short-term Outcomes of Total Joint Arthroplasty: A Randomized Controlled Trial.

    abstract::Poor outcomes associated with increased perioperative opioid use have led investigators to seek alternative pain management modalities after total joint arthroplasty. Nonpharmacological approaches, such as electroceuticals, have shown promise. The purpose of this study was to evaluate the effects of "havening," a spec...

    journal_title:Orthopedics

    pub_type: 杂志文章,随机对照试验

    doi:10.3928/01477447-20181010-04

    authors: Cizmic Z,Edusei E,Anoushiravani AA,Zuckerman J,Ruden R,Schwarzkopf R

    更新日期:2018-11-01 00:00:00

  • Calcium carbonate powder containing gentamicin for mixing with bone grafts.

    abstract::Bone grafts are used for reconstructing bone defects caused by implant-associated complications, trauma, and tumors. Surgery with bone allografts is complex and time consuming; therefore, it is prone to a higher infection rate (2.0%-2.5%). In the case of site infection, systemically administered antibiotics cannot rea...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20140728-50

    authors: Coraça-Huber D,Hausdorfer J,Fille M,Nogler M,Kühn KD

    更新日期:2014-08-01 00:00:00

  • Postoperative Compliance and Return to Work After Rotator Cuff Repair: Value of an Interactive Online Rehabilitation Program Among Patients Treated Under Workers' Compensation.

    abstract::Outcomes after rotator cuff repair (RCR) typically are poorer for workers' compensation (WC) than for patients with private insurance. This study examined augmentation of the traditional rehabilitation protocol with an online exercise program. Between March 2016 and July 2018, 48 WC patients who underwent RCR were int...

    journal_title:Orthopedics

    pub_type: 杂志文章

    doi:10.3928/01477447-20201119-07

    authors: Anderson L,Kinsman S,Oberlander M

    更新日期:2020-11-25 00:00:00