Title

Healthcare policy and urologic practice.

Document Type

Article

Publication Date

7-1-2017

Institution/Department

Urology, CORE

Journal Title

Current opinion in urology.

MeSH Headings

Delivery of Health Care, Fee-for-Service Plans, Health Expenditures, Health Policy, Humans, Quality of Health Care, Urology

Abstract

PURPOSE OF REVIEW: Healthcare policy is currently a topic of national debate, with numerous implications for the practice of urology.

RECENT FINDINGS: Healthcare policy has broad reaching effects, both predicted and unforeseen. The effects of healthcare policy are manifested through clinical practice guidelines, payment reform and the overall structure of the healthcare system. This review describes each of these topics and their impact on clinical practice, with a specific focus on urology and urologic practice.

SUMMARY: Guidelines are useful for guiding and determining what is considered appropriate clinical practice, but there are drawbacks including poor implementation and overabundance. Payment reform is constantly evolving, with multiple efforts being implemented to move away from a fee-for-service model of reimbursement. The structure of healthcare delivery is moving toward more outpatient procedures, with varying amount of physician ownership of facilities and equipment, which is itself a controversial topic.

ISSN

1473-6586

First Page

348

Last Page

353

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