Gianfrancesco F D
UMWA Health and Retirement Funds.
Health Care Financ Rev. 1990 Winter;12(2):37-54.
The effects of the prospective payment system and other factors on the use of post-hospital services were investigated for four groups of diagnostically related Medicare discharges. Effects on specific services and total Medicare payments were analyzed at the beneficiary level using a Tobit regression technique. The utilization data base consisted of more than 30,000 discharge episode records for the years 1981-86. The post-hospital period for each Medicare beneficiary encompassed the 60 days following discharge from the hospital. Influences on both the level and timing of health care services during this period were appraised. The influence of the prospective payment system was measured through the financial impact and risk that it imposed on the discharging hospital.
针对四组诊断相关的医疗保险出院病例，研究了预期支付系统及其他因素对出院后服务使用情况的影响。使用托比特回归技术在受益人的层面分析了对特定服务和医疗保险总支付的影响。利用数据库包含了1981 - 1986年期间超过30000条出院记录。每位医疗保险受益人的出院后时期涵盖出院后的60天。评估了在此期间对医疗服务水平和时间安排的影响。预期支付系统的影响是通过其对出院医院施加的财务影响和风险来衡量的。
