倡議團體推動改革醫師薪酬模式
Advocacy groups push for reform in physician payment models
醫學會與病患權益倡導者目前正呼籲對美國傳統的按項付費系統(fee-for-service (FFS) system)進行重大改革。
Medical societies and patient advocates are currently calling for major reforms to the traditional <span class="annotated" data-start="89" data-end="119" data-value="fee-for-service (FFS) system">fee-for-service (FFS) system</span> in the United States.
他們認為這種過時的模式—即根據個別服務項目向醫生付費—正在導致一場永續性危機。
They argue that this outdated model, which pays doctors per individual service, is driving a sustainability crisis.
自2001年起，醫生的薪酬一直難以跟上通膨，使許多診所在財務上陷入不穩定。
Since 2001, physician payments have struggled to keep pace with inflation, leaving many practices financially unstable.
批評者強調，現行系統獎勵的是服務的數量，而非病患的治療成效。
Critics emphasize that the current system rewards the volume of services rather than patient outcomes.
為了解決這些問題，一個利害關係人組成的聯盟正在遊說國會，推動轉向替代性付費模式(Alternative Payment Models (APMs))。
To address these issues, a coalition of stakeholders is lobbying Congress to transition toward <span class="annotated" data-start="636" data-end="663" data-value="Alternative Payment Models (APMs)">Alternative Payment Models (APMs)</span>.
關鍵提案包括將付費與醫療保險經濟指數連結，以因應通膨，並簡化監管框架。
Key proposals include linking payments to the Medicare Economic Index to account for inflation and simplifying regulatory frameworks.
隨著醫生短缺和預算裁減威脅到病患就醫權益，改革已成為2026年立法會期的重要優先事項。
As patient access faces threats from doctor shortages and budget cuts, reform has become a critical priority for the 2026 legislative session.
