Buchanan R J, Madel R P, Persons D
University of Illinois.
Health Care Financ Rev. 1991 Fall;13(1):55-72.
This research gives a comprehensive overview of the nursing home payment methodologies used by each State Medicaid program. To present this comprehensive overview, 1988 data were collected by survey from 49 States and the District of Columbia. The literature was reviewed and integrated into the study to provide a theoretical framework to analyze the collected data. The data are organized and presented as follows: payment levels, payment methods, payment of capital-related costs, and incentives in nursing home payment. We conclude with a discussion of the impact these different methodologies have on program cost containment, quality, and recipient access.
本研究全面概述了各州医疗补助计划所采用的养老院支付方法。为呈现这一全面概述，于1988年通过调查收集了来自49个州和哥伦比亚特区的数据。对相关文献进行了综述并纳入研究，以提供一个理论框架来分析所收集的数据。数据的组织和呈现方式如下：支付水平、支付方式、与资本相关成本的支付以及养老院支付中的激励措施。最后，我们讨论了这些不同方法对计划成本控制、质量和受助者获取服务的影响。
