门诊护理前瞻性付费患者分类系统的设计

Averill R F, Goldfield N I, Wynn M E, McGuire T E, Mullin R L, Gregg L W, Bender J A

3M Health Information Systems, Wallingford, CT 06492.

Health Care Financ Rev. 1993 Fall;15(1):71-100.

The Ambulatory Patient Group (APGs) are a patient classification system that was developed to be used as the basis of a prospective payment system (PPS) for the facility costs of outpatient care. This article will review the key characteristics of a patient classification system for ambulatory care, describe the APG development process, and describe a payment model based on the APGs. We present the results of simulating the use of APGs in a prospective payment system, and conclude with a discussion of the implementation issues associated with an outpatient PPS.

门诊患者分组（APGs）是一种患者分类系统，其开发目的是作为门诊护理机构成本的前瞻性支付系统（PPS）的基础。本文将回顾门诊护理患者分类系统的关键特征，描述APGs的开发过程，并描述基于APGs的支付模式。我们展示了在前瞻性支付系统中模拟使用APGs的结果，并最后讨论了与门诊PPS相关的实施问题。