Muñoz E, Chalfin D, Goldstein J, Cohen J R, Birnbaum E, Wise L
Surg Annu. 1991;23 Pt 1:137-46.
The world of health care finance and quality assessment is undergoing rapid change. We analyzed a large group of general surgical patients who died regarding hospital resource consumption. General surgical patients who died generated much greater resource consumption than survivors per DRG; increasing hospital LOS for general surgical patients who died was associated with increasing financial risk under DRGs. Patients who died after non-emergency admission generated similar financial risk to patients who died after emergency admission. General surgical patients who died who were referred from another clinical service generated, on average, similar resource consumption to non-referred patients who died. The results of this study support those of previous studies suggesting the payment inequities of DRGs for general surgical patients who die and suggest that attention should be directed at improving the DRG hospital payment system for these patients.
医疗保健融资和质量评估领域正在经历迅速变革。我们分析了一大批死亡的普通外科患者的医院资源消耗情况。按疾病诊断相关分组（DRG），死亡的普通外科患者比存活患者产生的资源消耗要多得多；死亡的普通外科患者住院时间延长与DRG下财务风险增加相关。非急诊入院后死亡的患者与急诊入院后死亡的患者产生的财务风险相似。从另一临床科室转诊而来的死亡普通外科患者，其平均资源消耗与未转诊的死亡患者相似。本研究结果支持先前研究的结果，即对于死亡的普通外科患者，DRG存在支付不公平现象，并表明应关注改善针对这些患者的DRG医院支付系统。
