The current Medicare payment structure and some of the recent guidelines aimed at reducing catheter-associated urinary tract infections may be generating a financial incentive for the protocolized, systematic removal of indwelling catheters in hospitalized patients-including those with spinal cord injury. This creates a tension with the Consortium for Spinal Cord Medicine's clinical practice guidelines for the management of neurogenic bladder. This article presents a series of cases and a discussion of the implications with regard to patient safety and quality of life.

中文翻译：

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当指南发生冲突时：脊髓损伤患者的患者安全、生活质量和 CAUTI 减少。


当前的医疗保险支付结构和一些旨在减少导管相关尿路感染的最新指南可能会产生经济激励，促使住院患者（包括脊髓损伤患者）按计划、系统地拔除留置导尿管。这与脊髓医学联盟的神经源性膀胱治疗临床实践指南产生了紧张关系。本文介绍了一系列案例并讨论了其对患者安全和生活质量的影响。