Buczko W
Health Care Financing Administration, Baltimore, MD 21207.
Health Care Financ Rev. 1993 Winter;15(2):71-87.
Examination of data derived from Medicare provider analysis and review (MEDPAR) discharge records for 152,337 transfer episodes of aged Medicare beneficiaries indicates that aged Medicare transfer patients have initial stays comparable to non-transfers in terms of length of stay, case-mix intensity, and total charges. During the final part of the transfer episode, however, transfers are clearly more intense cases than non-transfers. Patients treated for stroke or cardiovascular conditions are more likely to be transferred than other Medicare aged inpatients. The transfer episodes examined appear to reflect clinical considerations based primarily on patient need for specialized care.
对152337例老年医疗保险受益人的医疗保险提供者分析与审查（MEDPAR）出院记录数据进行的检查表明，就住院时间、病例组合强度和总费用而言，老年医疗保险转院患者的首次住院情况与未转院患者相当。然而，在转院过程的最后阶段，转院患者的病情显然比未转院患者更为严重。与其他老年医疗保险住院患者相比，因中风或心血管疾病接受治疗的患者更有可能被转院。所检查的转院情况似乎反映了主要基于患者对专科护理需求的临床考量。
