医院融资对住院时长的影响：来自奥地利的证据。
The impact of hospital financing on the length of stay: evidence from Austria.
作者信息
Theurl Engelbert, Winner Hannes
机构信息
Department of Economics and Statistics, University of Innsbruck, Universitaetsstrasse 15, A-6020 Innsbruck, Austria.
出版信息
Health Policy. 2007 Aug;82(3):375-89. doi: 10.1016/j.healthpol.2006.11.001. Epub 2006 Dec 12.
In 1997, Austria has changed the hospital financing system from a per diem-based payment scheme to a per case-based one. This paper assesses whether this reform has influenced the hospital length of stay. Empirically, we use data for 20 diagnostic groups (according to the ICD10) from the nine Austrian provinces (Bundesländer) between 1989 and 2003. Our findings suggest that the change of the hospital financing system has induced a substantial decrease in the average hospital length of stay. This effect is more pronounced for diagnostic groups with a longer length of stay.
1997年，奥地利将医院融资体系从按日计费的支付方案改为按病例计费的方案。本文评估了这一改革是否影响了住院时长。从经验上看，我们使用了1989年至2003年间奥地利九个省份（联邦州）20个诊断组（根据国际疾病分类第十版，即ICD10）的数据。我们的研究结果表明，医院融资体系的变化已导致平均住院时长大幅下降。这种影响在住院时间较长的诊断组中更为明显。
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