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.
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
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