Kirsner R S, Hannon W, Agarwal A, Kerdel F A
Department of Dermatology and Cutaneous Surgery, University of Miami School of Medicine, Florida, USA.
Dermatol Clin. 2000 Jul;18(3):391-5, vii. doi: 10.1016/s0733-8635(05)70187-x.
The University of Miami Department of Dermatology has maintained an active inpatient unit. Analysis of data from a 12 month period from 1995-1996 showed 562 admissions. Cutaneous lymphoma, psoriasis, and chronic wounds accounted for over half the admissions. Most patients were insured by a fee-for-service system, and compared to patients insured by managed care systems or patients who were indigent, fee-for-service patients had the shortest length of stay. Using a case mix severity index, indigent patients had the greatest disease severity followed by fee-for-service patients. Patients enrolled in managed care systems had the least severity suggesting that factors other than disease severity alone may play a role in determining why patients are admitted.
迈阿密大学皮肤科设有一个活跃的住院部。对1995年至1996年12个月期间的数据进行分析显示，共有562例入院病例。皮肤淋巴瘤、银屑病和慢性伤口占入院病例的一半以上。大多数患者由按服务收费系统承保，与由管理式医疗系统承保的患者或贫困患者相比，按服务收费的患者住院时间最短。使用病例组合严重程度指数，贫困患者的疾病严重程度最高，其次是按服务收费的患者。参加管理式医疗系统的患者严重程度最低，这表明除了疾病严重程度之外，其他因素可能在决定患者为何入院方面发挥作用。
