医疗补助计划下的手术结果。

Outcomes of surgery under Medicaid.

作者信息

Klingman D, Pine P L, Simon J

出版信息

Health Care Financ Rev. 1990 Spring;11(3):1-16.

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4193089/

Abstract

In this study, health outcomes during the 6-month period following surgery are examined for all Medicaid recipients in Michigan and Georgia who underwent selected surgical procedures between July 1, 1981, and June 30, 1982. Readmissions were somewhat more prevalent in both States for hysterectomy, cholecystectomy, appendectomy, and myringotomy. On almost all measures in both States, levels of post-surgical utilization, expenditure, and complications were higher among females, older patients, Supplemental Security Income enrollees, and those with higher levels of presurgical utilization and longer and more costly surgical stays. The results further demonstrate the utility of claims data in monitoring outcomes of surgery.

摘要

在本研究中，对1981年7月1日至1982年6月30日期间在密歇根州和佐治亚州接受特定外科手术的所有医疗补助受助人，检查其术后6个月期间的健康状况。子宫切除术、胆囊切除术、阑尾切除术和鼓膜切开术的再入院情况在这两个州都较为普遍。在这两个州的几乎所有衡量标准中，女性、老年患者、补充保障收入参保者以及术前利用率较高、手术住院时间较长且费用较高的患者，术后的利用水平、支出和并发症发生率更高。结果进一步证明了理赔数据在监测手术结果方面的作用。

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本文引用的文献

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Outcomes of surgery in the Medicare aged population: rehospitalization after surgery.医疗保险覆盖的老年人群体的手术结局：术后再入院情况

Health Care Financ Rev. 1986 Fall;8(1):23-34.

2

Outcomes of surgery among the Medicare aged: surgical volume and mortality.医疗保险覆盖老年人的手术结局：手术量与死亡率

Health Care Financ Rev. 1985 Fall;7(1):37-47.

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Outcomes of surgery among the Medicare aged: mortality after surgery.医疗保险覆盖老年人的手术结果：术后死亡率

Health Care Financ Rev. 1985 Summer;6(4):103-15.

4

The dually entitled elderly Medicare and Medicaid population living in the community.同时享有医疗保险和医疗补助的社区老年人群体。

Health Care Financ Rev. 1984 Winter;6(2):73-85.

5

Equal treatment and unequal benefits: a re-examination of the use of Medicare services by race, 1967-1976.

Health Care Financ Rev. 1981 Winter;2(3):55-83.

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The relation between surgical volume and mortality: an exploration of causal factors and alternative models.手术量与死亡率之间的关系：对因果因素及替代模型的探讨

Med Care. 1980 Sep;18(9):940-59. doi: 10.1097/00005650-198009000-00006.

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Medical intensive care: indications, interventions, and outcomes.医学重症监护：适应症、干预措施及结果。

N Engl J Med. 1980 Apr 24;302(17):938-42. doi: 10.1056/NEJM198004243021703.

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Hospital medical staff organization and quality of care: results for myocardial infarction and appendectomy.医院医务人员组织与医疗质量：心肌梗死和阑尾切除术的结果

Med Care. 1981 Oct;19(10):1041-55. doi: 10.1097/00005650-198110000-00006.

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Relation between surgical volume and incidence of postoperative wound infection.手术量与术后伤口感染发生率之间的关系。

N Engl J Med. 1981 Jul 23;305(4):200-4. doi: 10.1056/NEJM198107233050405.

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Survival of adult high-cost patients. Report of a follow-up study from nine acute-care hospitals.成年高费用患者的生存情况。来自九家急症护理医院的一项随访研究报告。

JAMA. 1981 Apr 10;245(14):1446-9.

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