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The application of diagnostic specific cost profiles to cost and reimbursement control in hospitals.
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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
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Developing payment refinements and reforms under Medicare for excluded hospitals.为被排除的医院制定医疗保险支付的细化措施和改革方案。
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Hospital case mix: its definition, measurement and use: Part I. The conceptual framework.医院病例组合:其定义、测量与应用:第一部分。概念框架。
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Payment, administration, and financing of the Medicaid program.医疗补助计划的支付、管理与融资。
Health Care Financ Rev Annu Suppl. 1992:285-301.
10
Explaining resource consumption among non-normal neonates.解释非正常新生儿的资源消耗情况。
Health Care Financ Rev. 1991 Winter;13(2):19-28.

儿科修正诊断相关分组的评估。

An evaluation of pediatric-modified diagnosis-related groups.

作者信息

Payne S M, Schwartz R M

机构信息

Boston University School of Medicine, MA 02118.

出版信息

Health Care Financ Rev. 1993 Winter;15(2):51-70.

PMID:10135344
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4193419/
Abstract

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.

摘要

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。