Brewster A C, Bradbury R C, Jacobs C M
Healthc Financ Manage. 1985 Jul;39(7):52-3, 56-60.
Hospital financial managers have come to recognize that to profitably operate a hospital under DRGs, they must consider factors other than length of stay. They must also look at illness severity, medical care effectiveness, and treatment efficiency. It is therefore advantageous to develop a method that measures the effect of admission severity on DRG payment and provides information on medical care effectiveness and treatment efficiency improvements. The method described in this article, the admission severity measure, allows the manager to consider both these quality and cost issues.
医院财务经理已经逐渐认识到,要在诊断相关分组(DRGs)体系下实现医院的盈利运营,他们必须考虑住院时间以外的其他因素。他们还必须关注疾病严重程度、医疗护理效果和治疗效率。因此,开发一种方法来衡量入院严重程度对诊断相关分组支付的影响,并提供有关医疗护理效果和治疗效率提升的信息是很有必要的。本文所描述的方法,即入院严重程度测量法,使管理者能够同时考虑这些质量和成本问题。