Payne S M, Schwartz R M
Boston University School of Medicine, MA 02118.
Health Care Financ Rev. 1993 Winter;15(2):51-70.
Pediatric-modified diagnosis-related groups (PM-DRGs) were designed to describe more accurately than DRGs differences in severity of illness and charges across pediatric patients. We report on an evaluation of PM-DRGs for use in prospective payment systems (PPSs). Data on pediatric discharges (i.e., patients 17 years of age or under) from 5 States and a national sample of 43 hospitals were used. PM-DRGs explained substantially more variation in resource use at the discharge level and hospital level. PM-DRGs improved classification of neonatal discharges by concentrating them into fewer categories and measuring birth weight more precisely.
儿科修正诊断相关分组(PM-DRGs)旨在比DRGs更准确地描述儿科患者疾病严重程度和费用的差异。我们报告了对用于前瞻性支付系统(PPSs)的PM-DRGs的评估。使用了来自5个州的儿科出院数据(即17岁及以下患者)以及43家医院的全国样本。PM-DRGs在出院水平和医院水平上对资源使用的差异解释得更多。PM-DRGs通过将新生儿出院集中到更少的类别并更精确地测量出生体重,改进了新生儿出院的分类。