Davis Mellar P, Walsh Declan, LeGrand Susan B, Lagman Ruth L, Harrison Betty, Rybicki Lisa
The Harry R. Horvitz Center for Palliative Medicine, The Cleveland Clinic Taussig Cancer Center, OH, USA.
J Support Oncol. 2005 Jul-Aug;3(4):313-6.
Financial comparisons of acute care hospital services are possible using the Centers for Medicare & Medicaid Services case mix index (CMI) and All Patient Refined-Diagnosis Related Group (APR-DRG) data. We compared The Cleveland Clinic's Inpatient Palliative Medicine (CCIPM) acute care unit's CMI and APR-DRG data with national and peer institution data. Total mean charges per admission to the CCIPM unit were 7,800 dollars lower than at other peer institutions despite an equivalent severity of illness and longer length of stay and higher mortality in the CCIPM unit. The lower charges were due primarily to lower laboratory and pharmaceutical charges. We conclude that an acute inpatient palliative medicine unit operating within a comprehensive integrated palliative medicine program is cost-effective in providing specialized care for people with advanced disease.
利用医疗保险和医疗补助服务中心的病例组合指数（CMI）以及所有患者细化诊断相关组（APR - DRG）数据，可以对急性护理医院服务进行财务比较。我们将克利夫兰诊所的住院姑息医学（CCIPM）急性护理单元的CMI和APR - DRG数据与全国及同行机构的数据进行了比较。尽管CCIPM单元患者的疾病严重程度相当、住院时间更长且死亡率更高，但该单元每次入院的总平均费用比其他同行机构低7800美元。费用较低主要是由于实验室检查和药品费用较低。我们得出结论，在全面综合的姑息医学项目中运作的急性住院姑息医学单元，在为晚期疾病患者提供专科护理方面具有成本效益。
