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基于费用权重与基于成本权重的纵向比较。

A longitudinal comparison of charge-based weights with cost-based weights.

作者信息

Carter G M, Farley D O

出版信息

Health Care Financ Rev. 1992 Spring;13(3):53-63.

PMID:10120182
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4193249/
Abstract

The diagnosis-related group weights that determine prices for Medicare hospital stays are recalibrated annually using charge data. Using data from fiscal years 1985 through 1987, the authors show that differences between these charge-based weights and cost-based weights are increasing only slightly. Charge-based weights are available in a more timely manner and, based on temporal changes in the weights, we show that this is an important consideration. Charge-based weights provide higher payments than cost-based weights to hospitals with higher case-mix indexes, but have little effect on hospitals with low cost-to-charge ratios, high capital costs, or high teaching costs.

摘要

用于确定医疗保险住院费用的诊断相关组权重每年都会根据收费数据进行重新校准。作者利用1985年至1987财年的数据表明，这些基于收费的权重与基于成本的权重之间的差异仅略有增加。基于收费的权重能更及时地获取，并且基于权重的时间变化，我们表明这是一个重要的考虑因素。基于收费的权重向病例组合指数较高的医院提供的支付高于基于成本的权重，但对成本收费比率低、资本成本高或教学成本高的医院影响不大。

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本文引用的文献

1
Pricing Medicare's diagnosis-related groups: charges versus estimated costs.医疗保险诊断相关组的定价：收费与估计成本
Health Care Financ Rev. 1989 Fall;11(1):79-90.
2
Predicting hospital accounting costs.预测医院会计成本。
Health Care Financ Rev. 1989 Fall;11(1):25-33.
3
Are the diagnosis-related group case weights compressed?诊断相关分组病例权重是否被压缩？
Health Care Financ Rev. 1988 Winter;10(2):37-46.
4
Comparison of alternative relative weights for diagnosis-related groups.诊断相关组替代相对权重的比较。
Health Care Financ Rev. 1986 Spring;7(3):37-51.
5
Reliability and validity in hospital case-mix measurement.医院病例组合测量中的可靠性与有效性。
Health Care Financ Rev. 1982 Dec;4(2):101-28.
6
How much change in the case mix index is DRG creep?病例组合指数的多大变化属于疾病诊断相关分组（DRG） creep？
J Health Econ. 1990;9(4):411-28. doi: 10.1016/0167-6296(90)90003-l.
7
Comparison of alternative weight recalibration methods for diagnosis-related groups.用于诊断相关分组的替代权重重新校准方法的比较
Health Care Financ Rev. 1990 Winter;12(2):87-101.
8
Is compression occurring in DRG prices?DRG价格中是否存在压缩现象？
Inquiry. 1985 Summer;22(2):142-7.

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