Sloan F A, Morrisey M A, Valvona J
Vanderbilt University.
Milbank Q. 1988;66(2):191-220.
In 1983 federal efforts to contain hospital costs were coalesced under the Medicare prospective payment system (PPS)--a "self-interest" approach to administered prices. Diagnosis-related groups (DRGs) and the tougher peer review organizations (PROs) serve to define "products"; PPS sets the price on each. The effects of PPS go beyond Medicare; they have been system-wide. Differential impacts on hospital utilization, substitution of capital for labor, and quality are examined through a variety of data sources and descriptive as well as regression analyses. The greatest cost savings are attributed to a reduction in hospital admissions per capita.
1983年，联邦政府控制医院成本的努力在医疗保险预期支付系统（PPS）下合并——这是一种针对管理价格的“自身利益”方法。诊断相关分组（DRGs）和更严格的同行评审组织（PROs）用于定义“产品”；PPS为每个产品设定价格。PPS的影响超出了医疗保险范围；它们已经是全系统范围的。通过各种数据源以及描述性和回归分析，研究了对医院利用率、资本对劳动力的替代以及质量的不同影响。最大的成本节约归因于人均住院人数的减少。
