Abstract:
:The pressures on spine surgery to adopt value-based reimbursement models are being seen in the increased implementation of bundled payment strategies. Given that bundled payment models typically link payments to the initiation of the surgical episode in question, despite their potential cost-saving attributes, financial incentives remain tied to the volume of services being provided. As payors and policy makers look to find savings by focusing on waste and variation of care, more comprehensive models such population health strategies are now being develop and deployed. The clinical delivery and cost variation currently seen in spine health management make spine surgery an acute target of such population health strategies. Spine surgeons should understand the forces driving such changes and the opportunities to optimize performance within them.
journal_name
Clin Spine Surgjournal_title
Clinical spine surgeryauthors
Scalise J,Jacofsky Ddoi
10.1097/BSD.0000000000000568subject
Has Abstractpub_date
2018-07-01 00:00:00pages
261-262issue
6eissn
2380-0186issn
2380-0194journal_volume
31pub_type
杂志文章abstract:STUDY DESIGN:Propensity score matched retrospective study using a nationwide longitudinal database. OBJECTIVE:To quantify the longitudinal economic impact of venous thromboembolism (VTE) complications in spinal fusion patients. SUMMARY OF BACKGROUND DATA:VTE is a rare and serious complication that may occur after spi...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000450
更新日期:2017-12-01 00:00:00
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journal_title:Clinical spine surgery
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journal_title:Clinical spine surgery
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000693
更新日期:2018-11-01 00:00:00
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journal_title:Clinical spine surgery
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doi:10.1097/BSD.0b013e3182aa4ce1
更新日期:2016-04-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31828bfc85
更新日期:2016-08-01 00:00:00
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journal_title:Clinical spine surgery
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000001076
更新日期:2020-09-25 00:00:00
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journal_title:Clinical spine surgery
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更新日期:2017-08-01 00:00:00
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journal_title:Clinical spine surgery
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更新日期:2017-11-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0b013e31828984f9
更新日期:2016-02-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章,随机对照试验
doi:10.1097/BSD.0000000000000802
更新日期:2019-08-01 00:00:00
abstract:STUDY DESIGN:Biomechanical ex vivo study. OBJECTIVE:To determine if topping off instrumentation can reduce the hypermobility in the adjacent segments when compared with the classic rigid spinal instrumentation. SUMMARY OF THE BACKGROUND DATA:Long rigid instrumentation might increase the mechanical load in the adjacen...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000244
更新日期:2017-05-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000915
更新日期:2020-04-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
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更新日期:2019-06-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
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更新日期:2020-02-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000721
更新日期:2019-03-01 00:00:00
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journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000770
更新日期:2019-08-01 00:00:00
abstract::Central cord syndrome (CCS) represents a clinical phenomenon characterized by disproportionately greater motor impairment of the upper than of the lower extremities, bladder dysfunction. CSS is the most common form of incomplete traumatic spinal cord injury. The initial description of CSS was reported in 1887 secondar...
journal_title:Clinical spine surgery
pub_type: 杂志文章
doi:10.1097/BSD.0000000000000731
更新日期:2018-12-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Clinical spine surgery
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journal_title:Clinical spine surgery
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更新日期:2017-12-01 00:00:00
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journal_title:Clinical spine surgery
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journal_title:Clinical spine surgery
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更新日期:2019-06-01 00:00:00
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journal_title:Clinical spine surgery
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更新日期:2021-02-01 00:00:00
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journal_title:Clinical spine surgery
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更新日期:2017-12-01 00:00:00
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journal_title:Clinical spine surgery
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