住院和门诊化疗的病例组合及费用
Case mix and charges for inpatient and outpatient chemotherapy.
作者信息
Lion J, Henderson M, Malbon A, Bergman A, Come S
出版信息
Health Care Financ Rev. 1987 Summer;8(4):65-71.
Case mix and charges for chemotherapy treatment were examined by an analysis of the inpatient discharges for DRG 410 (chemotherapy) from eight teaching hospitals and of outpatient visits from two teaching hospitals. Discharges for ovarian cancer were the most common and the least expensive, costing $1,600 or half as much as the most costly, less common conditions (leukemia and testicle cancer). Diagnosis explained 13 percent of the inpatient charge variation; metastasis explained less than 1 percent. Outpatient chemotherapy overlapped with inpatient among only 3 of the 10 most common diagnoses. The implication is that the two settings are complementary with regard to chemotherapy administration.
通过对八家教学医院DRG 410（化疗）的住院出院病例以及两家教学医院的门诊就诊病例进行分析，研究了化疗治疗的病例组合和费用情况。卵巢癌的出院病例最为常见且费用最低，为1600美元，仅为最昂贵、较不常见病症（白血病和睾丸癌）费用的一半。诊断解释了住院费用差异的13%；转移仅解释了不到1%。在10种最常见的诊断中，只有3种门诊化疗与住院化疗有重叠。这意味着在化疗给药方面，这两种治疗环境是互补的。
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