诊断相关组的严重程度和复杂性细化评估。
An evaluation of diagnosis-related group severity and complexity refinement.
作者信息
McGuire T E
机构信息
3M Health Information Systems, Wallingford, CT 06492.
出版信息
Health Care Financ Rev. 1991 Summer;12(4):49-60.
In 1988, an ambitious and extensive project was undertaken in New Jersey to evaluate severity class adjustment of the all-payer prospective payment system. Another project objective was to evaluate alternative strategies for refining diagnosis-related groups (DRGs). The evaluation presented here includes a comparison of DRG refinement using Computerized Severity Index classes and Yale University complexity classes. Statistical methods and payment simulations are used to assess the impact of DRG refinement and consequent revenue changes. When a high volume subset of DRGs is refined, simulated payment shifts between hospitals on the order of 5 percent of total hospital costs are indicated by this analysis.
1988年，新泽西州开展了一项雄心勃勃且规模庞大的项目，以评估全支付方前瞻性支付系统的严重程度分级调整。该项目的另一个目标是评估完善诊断相关分组（DRG）的替代策略。此处呈现的评估包括使用计算机化严重程度指数分级和耶鲁大学复杂性分级对DRG进行完善的比较。采用统计方法和支付模拟来评估DRG完善的影响以及随之而来的收入变化。当对大量DRG子集进行完善时，该分析表明医院之间的模拟支付转移幅度约为医院总成本的5%。
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