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美国农村和非农村医院实施医疗保险和医疗补助服务中心针对可预防的医院获得性疾病的拒付政策。

Implementation of the Centers for Medicare & Medicaid Services' Nonpayment Policy for Preventable Hospital-Acquired Conditions in Rural and Nonrural US Hospitals.

作者信息

Bae Sung-Heui, Yoder Linda H

机构信息

School of Nursing, University of Texas at Austin.

出版信息

J Nurs Care Qual. 2015 Oct-Dec;30(4):313-22. doi: 10.1097/NCQ.0000000000000119.

DOI:10.1097/NCQ.0000000000000119
PMID:25768058
Abstract

Preventable adverse patient outcomes and hospital characteristics in rural versus nonrural US hospitals under the new Centers for Medicare & Medicaid Services reimbursement policy were examined using the American Hospital Association Annual Survey and Hospital Compare data. Under the new Centers for Medicare & Medicaid Services policy, rural hospitals tended to have fewer hospital-acquired conditions than nonrural hospitals except for patient falls. Case mix was consistently related to falls after controlling for hospital characteristics.

摘要

利用美国医院协会年度调查和医院比较数据,研究了在美国医疗保险和医疗补助服务中心新报销政策下,美国农村和非农村医院中可预防的不良患者结局及医院特征。根据美国医疗保险和医疗补助服务中心的新政策,除患者跌倒外,农村医院的医院获得性疾病往往比非农村医院少。在控制医院特征后,病例组合与跌倒始终相关。

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