Palmer G, Aisbett C, Fetter R, Winchester L, Reid B, Rigby E
Centre for Hospital Management and Information Systems Research, University of NSW.
Aust Health Rev. 1991;14(3):314-34.
The results are reported of a first round of costing by DRG in seven major teaching hospital sites in Sydney using the Yale cost model. These results, when compared between the hospitals and with values of relative costs by DRG from the United States, indicate that the cost modelling procedure has produced credible and potentially useful estimates of casemix costs. The rationale and underlying theory of cost modelling is explained, and the need for further work to improve the method of allocating costs to DRGs, and to improve the cost centre definitions currently used by the hospitals, is emphasised.
报告了在悉尼七家主要教学医院使用耶鲁成本模型进行的第一轮疾病诊断相关分组（DRG）成本核算结果。将这些结果在各医院之间进行比较，并与美国DRG相对成本值进行比较后发现，成本建模程序得出了可信且可能有用的病例组合成本估算值。文中解释了成本建模的基本原理和基础理论，并强调了进一步开展工作以改进向DRG分配成本的方法以及改进医院目前使用的成本中心定义的必要性。
