针对短期和长期住院精神科患者的综合支付模式。

Fries B E, Durance P W, Nerenz D R, Ashcraft M L

Institute of Gerontology and School of Public Health, University of Michigan, Ann Arbor 48109.

Health Care Financ Rev. 1993 Winter;15(2):31-50.

In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients. "Transition pricing" provides a balance between the incentives of an episode-based system and the necessity of per diem long-term payments. Payment is dependent on two new psychiatric resident classification systems for short- and long-term stays. Data on per diem cost of inpatient care, by day of stay, was computed from a sample of 2,968 patients from 100 psychiatric units in 51 Department of Veterans Affairs (VA) Medical Centers. Using a 9-month cohort of all VA psychiatric discharges nationwide (79,337 with non-chronic stays), profits and losses were simulated.

在本文中，我们为一个同时收治急性和慢性精神科患者的医院系统开发了一种支付模式。“过渡定价”在基于诊疗过程的系统激励措施与每日长期支付的必要性之间取得了平衡。支付取决于两种针对短期和长期住院的新的精神科住院医师分类系统。住院护理每日费用的数据，按住院天数计算，来自51个退伍军人事务部（VA）医疗中心的100个精神科病房的2968名患者样本。利用全国所有VA精神科出院患者的9个月队列（79337例非慢性住院患者），模拟了盈利和亏损情况。