Wolfe B L, Detmer D E
Health Serv Manage Res. 1988 Mar;1(1):19-28. doi: 10.1177/095148488800100103.
Hospital charges and length of stay for inguinal hernia and acute appendicitis patients were examined in a university hospital to determine the degree of variation with DRGs. Evidence presented here suggests that DRGs may lead to a reduction in medical care costs without a reduction in patient outcomes. Mode/year DRGs to take account of source of admission and maintaining outliers payments may be desirable to avoid patient selectivity and incentives for lowering quality of care of the most severely ill patients.
在一家大学医院对腹股沟疝和急性阑尾炎患者的住院费用及住院时间进行了检查，以确定与诊断相关分组（DRGs）的变异程度。此处提供的证据表明，DRGs可能会在不降低患者治疗效果的情况下降低医疗成本。考虑到入院来源并维持对异常值的支付的模式/年份DRGs，可能有助于避免患者选择偏差以及对降低重症患者护理质量的激励。
