医疗保险患者住院时长趋势：1979 - 1987年
Trends in length of stay for Medicare patients: 1979-87.
作者信息
Kominski G F, Witsberger C
机构信息
University of California at Los Angeles 90024.
出版信息
Health Care Financ Rev. 1993 Winter;15(2):121-35.
Abstract
Hospital length of stay (LOS) declined steadily during the 1970s, then rapidly during the early years of the Medicare prospective payment system (PPS). In this article, the authors examine trends in hospital LOS for Medicare patients from 1979 through 1987 for all cases combined, for medical and surgical cases separately, and for different geographic regions. The increase in LOS for surgical cases from 1985 through 1987 represented two offsetting trends. Continuing declines in LOS for most procedures were offset by an increased shift toward complex, long LOS procedures.
摘要
20世纪70年代，医院住院时长（LOS）稳步下降，随后在医疗保险预付费系统（PPS）实施的最初几年迅速下降。在本文中，作者研究了1979年至1987年医疗保险患者的医院住院时长趋势，包括所有病例合并情况、内科和外科病例分别情况以及不同地理区域的情况。1985年至1987年外科病例住院时长的增加呈现出两种相互抵消的趋势。大多数手术的住院时长持续下降，但被向复杂、长住院时长手术的转移增加所抵消。
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