Rupp A, Taube C A
Inquiry. 1989 Summer;26(2):216-21.
This study focuses on the disproportionate share payment adjustment of the Medicare Prospective Payment System and examines the relationship between share of low-income patients and the cost of inpatient psychiatric care. All general hospitals without distinct psychiatric units that treated more than 20 Medicare psychiatric patients in general medical-surgical beds are included in the cost analysis. The difference between official adjustment factors and the estimates of this analysis suggests that in 16% of the large urban disproportionate share hospitals poverty psychiatric cases are systematically underpaid.
本研究聚焦于医疗保险预期支付系统的不成比例份额支付调整，并考察低收入患者比例与住院精神科护理成本之间的关系。成本分析纳入了所有没有独立精神科病房、在普通内科 - 外科病床治疗超过20名医疗保险精神科患者的综合医院。官方调整因素与本分析估计值之间的差异表明，在16%的大型城市不成比例份额医院中，贫困精神科病例存在系统性支付不足的情况。
