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医疗保险报销政策变化对住院护理质量的影响

Implications of Medicare reimbursement changes related to inpatient nursing care quality.

作者信息

Welton John M

机构信息

College of Nursing, Medical University of South Carolina, Charleston, SC 29425, USA.

出版信息

J Nurs Adm. 2008 Jul-Aug;38(7-8):325-30. doi: 10.1097/01.NNA.0000323944.89640.c0.

DOI:10.1097/01.NNA.0000323944.89640.c0
PMID:18690122
Abstract

Recent changes to the inpatient prospective payment system by the Centers for Medicare and Medicaid Services will negatively affect reimbursement to hospitals for patients who develop certain types of nursing-sensitive, hospital-acquired conditions such as pressure ulcers, falls with injuries, or nosocomial infections. The author examines the effects of the new payment policy on inpatient nursing care and addresses ways to improve quality and minimize financial impacts to hospitals.

摘要

医疗保险和医疗补助服务中心近期对住院患者前瞻性支付系统所做的调整,将对医院收治某些类型护理敏感型医院获得性疾病(如压疮、受伤跌倒或医院感染)患者的报销产生负面影响。作者研究了新支付政策对住院护理的影响,并探讨了提高质量以及将医院财务影响降至最低的方法。

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