Faherty B
UCLA School of Nursing, Los Angeles, CA 90024.
Home Health Care Serv Q. 1991;12(2):35-52. doi: 10.1300/J027v12n02_04.
California home health data for the years 1982 through 1987 are analyzed to explore the effects of the implementation of the Prospective Payment System in 1983 and the increase in denial rate for Medicare reimbursed home care in late 1985. After 1983 the following declined: average number of patients per agency, average number of visits per patient, number of freestanding agencies and percentage of reimbursement from Medicare. After 1985 there were declines in the number of patients served, total number of visits, average number of visits per aged client, and number of agencies (proprietary and non-profit) submitting annual reports.
对1982年至1987年加利福尼亚州家庭健康数据进行分析，以探究1983年实施的前瞻性支付系统以及1985年末医疗保险报销家庭护理拒绝率上升所产生的影响。1983年之后出现了以下下降情况：每个机构的平均患者数量、每位患者的平均访视次数、独立机构数量以及医疗保险报销的百分比。1985年之后，接受服务的患者数量、总访视次数、每位老年客户的平均访视次数以及提交年度报告的机构数量（营利性和非营利性）均有所下降。
