McGraner R C
Radiol Manage. 1986 Apr;8(2):30-3.
Patient volume has been traditionally analyzed by discharge service type and by payor type. However, in order to understand the marketing factors that affect patient volume and the influence of third party payors on the health care industry, this traditional approach must change. We must adopt techniques that are based on an understanding of diagnosis related groups (DRGs) and their related major diagnostic categories (MDCs). This article presents a brief history of the evolution of the DRG system and describes the effects of targeting specific DRGs. The author then offers recommendations for coping with prospective reimbursement.
传统上,患者数量是按照出院服务类型和付款人类型进行分析的。然而,为了了解影响患者数量的营销因素以及第三方付款人对医疗行业的影响,这种传统方法必须改变。我们必须采用基于对诊断相关分组(DRG)及其相关主要诊断类别(MDC)的理解的技术。本文介绍了DRG系统演变的简要历史,并描述了针对特定DRG的影响。然后,作者提出了应对预期报销的建议。