Freiman M P, Sederer L I
Health Economics Research, Inc., Needham, Mass.
Am J Psychiatry. 1990 Jan;147(1):100-5. doi: 10.1176/ajp.147.1.100.
Medicare's reimbursement policy provides payment incentives for hospitals to transfer psychiatric patients to another acute-care facility, especially when the destination facility is exempt from Medicare's prospective payment system. The authors found, however, that transfers were relatively infrequent in 1985, accounting for only approximately 3.4% of all psychiatric hospitalizations under Medicare. The most common type of transfer was from a nonspecialized general hospital bed to a Medicare-exempt psychiatric unit within the same hospital. Given that increasing financial pressures may result in a rise in the number of transfers, the authors discuss potential reforms of Medicare reimbursement for these cases.
医疗保险的报销政策为医院提供了经济激励，促使其将精神病患者转至另一家急症护理机构，尤其是当接收机构不受医疗保险预期支付系统的限制时。然而，作者发现，1985年此类转院情况相对较少，仅占医疗保险覆盖下所有精神病住院病例的约3.4%。最常见的转院类型是从非专科综合医院病床转至同一家医院内不受医疗保险限制的精神病科室。鉴于日益增加的财务压力可能导致转院数量上升，作者探讨了针对这些情况的医疗保险报销潜在改革措施。
