Klingman D, Pine P L, Simon J
Health Care Financ Rev. 1990 Spring;11(3):1-16.
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.
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。
