View of U.S. spine surgeons regarding cost reduction measures

Abstract

Spine surgeons allocated responsibility to reduce healthcare costs to healthcare systems, were most enthusiastic about eliminating wasteful spending, and were in agreement regarding their responsibility to control the costs of healthcare. Compared to US physicians of various specialties and anesthesiologists, spine surgeons assigned less responsibility to trials lawyers and expressed markedly less enthusiasm for limiting access to expensive treatments.

The introduction of a value‐based reimbursement programme—Alignment and resistance among healthcare providers

“…Similar findings have been reported in other studies, where bundled payment reduced healthcare use and costs 21,38 . The different perceptions, of the legitimacy of increasing healthcare providers responsibility for post‐discharge, is in line with studies showing that spine surgeons allocate major responsibility to healthcare systems to manage the cost of healthcare 39 . With STHLM‐VBRP, Region Stockholm moves towards integrated care with patient‐centeredness and a greater responsibility to healthcare providers, thus in line with VBHC 40 …”

“…21,38 The different perceptions, of the legitimacy of increasing healthcare providers responsibility for post-discharge, is in line with studies showing that spine surgeons allocate major responsibility to healthcare systems to manage the cost of healthcare. 39 With STHLM-VBRP, Region Stockholm moves towards integrated care with patient-centeredness and a greater responsibility to healthcare providers, thus in line with VBHC. 40 Participants in our study experienced a need for better cooperation between healthcare providers.…”