入院来源与成本：公立医院面临财务风险。
Source of admission and cost: public hospitals face financial risk.
作者信息
Muñoz E, Soldano R, Laughlin A, Margolis I B, Wise L
出版信息
Am J Public Health. 1986 Jun;76(6):696-7. doi: 10.2105/ajph.76.6.696.
Abstract
We studied all admissions to the 11 acute care hospitals of the New York City Health and Hospitals Corporation (April 1983-September 1984) matching emergency room (ER) admitted diagnostic related group (DRG) subgroups in each hospital with at least five non-ER admitted patients (N = 222,961). Mean cost per ER patient ($8,385) was greater than non-ER mean cost per patient ($4,386) for Medicare and non-Medicare. Our data suggest that public hospitals with a high proportion of ER admissions may be at a financial disadvantage under DRG reimbursement.
摘要
我们研究了纽约市卫生与医院公司11家急症护理医院（1983年4月 - 1984年9月）的所有入院病例，将每家医院急诊室（ER）收治的诊断相关分组（DRG）亚组与至少五名非急诊室收治患者进行匹配（N = 222,961）。对于医疗保险和非医疗保险患者，急诊室患者的平均费用（8385美元）高于非急诊室患者的平均费用（4386美元）。我们的数据表明，急诊入院比例高的公立医院在DRG报销制度下可能处于财务劣势。
相似文献
1
Source of admission and cost: public hospitals face financial risk.入院来源与成本：公立医院面临财务风险。
Am J Public Health. 1986 Jun;76(6):696-7. doi: 10.2105/ajph.76.6.696.
2
Mode of admission and cost for surgical DRGs.手术诊断相关分组的入院方式及费用
Ann Emerg Med. 1986 Nov;15(11):1268-74. doi: 10.1016/s0196-0644(86)80607-2.
3
The financial effects of emergency department-generated admissions under prospective payment systems.前瞻性支付系统下急诊科产生的住院病例的财务影响。
JAMA. 1985 Oct 4;254(13):1763-71. doi: 10.1001/jama.1985.03360130099038.
4
The observable patient in the DRG era.疾病诊断相关分组（DRG）时代的可观察患者。
Am J Emerg Med. 1988 Mar;6(2):93-103. doi: 10.1016/0735-6757(88)90043-5.
5
Access and quality of care for urology patients under diagnostic related group reimbursement.诊断相关组报销模式下泌尿外科患者的医疗服务可及性与质量
J Urol. 1988 Jun;139(6):1256-9. doi: 10.1016/s0022-5347(17)42883-7.
6
The costs and dynamics of surgical morbidity and mortality.手术并发症及死亡率的成本与动态变化
Surgery. 1986 Nov;100(5):905-11.
7
The financial impact of Medicare diagnosis-related groups. Effect upon hospitals receiving cardiac patients referred for tertiary care.医疗保险诊断相关分组的财务影响。对接收转诊至三级医疗机构的心脏病患者的医院的影响。
Chest. 1987 Mar;91(3):418-23. doi: 10.1378/chest.91.3.418.
8
DRG prospective, "all payor systems," financial risk, and hospital cost in pulmonary medicine non CC stratified DRGs.肺科非复杂并发症分层诊断相关分组中的诊断相关分组前瞻性、“所有支付方系统”、财务风险和医院成本
Chest. 1988 Oct;94(4):855-61. doi: 10.1378/chest.94.4.855.
9
Hospital costs, resource characteristics, and the dynamics of death for surgical patients.外科患者的医院成本、资源特征及死亡动态
Hosp Health Serv Adm. 1989 Spring;34(1):71-83.
10
Surgonomics: the cost dynamics of craniotomy.手术经济学：开颅手术的成本动态
Neurosurgery. 1986 Mar;18(3):321-6. doi: 10.1227/00006123-198603000-00011.
引用本文的文献
1
Changes in medicare reimbursement: impact on therapy for benign prostatic hyperplasia.医疗保险报销的变化：对良性前列腺增生治疗的影响。
Curr Urol Rep. 2002 Aug;3(4):280-4. doi: 10.1007/s11934-002-0049-9.
2
Prospective payments to hospitals: should emergency admissions have higher rates?向医院的预期支付：急诊入院的费率应该更高吗？
Health Care Financ Rev. 1989 Spring;10(3):29-39.
3
Mortality in a public and a private hospital compared: the severity of antecedent disorders in Medicare patients.公立与私立医院死亡率比较：医疗保险患者既往疾病的严重程度
Am J Public Health. 1993 Jul;83(7):966-71. doi: 10.2105/ajph.83.7.966.
4
Financial risk, hospital cost, complications, and comorbidities in surgical noncomplication- and noncomorbidity-stratified diagnostic related groups.手术无并发症和无合并症分层诊断相关组中的财务风险、医院成本、并发症及合并症
Ann Surg. 1988 Mar;207(3):305-9. doi: 10.1097/00000658-198803000-00013.
5
The changing perspectives of trauma care. The Sinkler Memorial Lecture.创伤护理观念的转变。辛克勒纪念讲座。
J Natl Med Assoc. 1992 Apr;84(4):321-8.
本文引用的文献
1
Implications of DRGs for clinicians.疾病诊断相关分组（DRGs）对临床医生的影响。
N Engl J Med. 1984 Nov 15;311(20):1314-7. doi: 10.1056/NEJM198411153112011.
2
Surgonomics: the cost of cholecystectomy.外科经济学：胆囊切除术的成本
Surgery. 1984 Oct;96(4):642-7.
3
Medicare begins prospective payment of hospitals.医疗保险开始对医院进行前瞻性支付。
N Engl J Med. 1983 Jun 9;308(23):1428-32. doi: 10.1056/NEJM198306093082331.
4
The financial effects of emergency department-generated admissions under prospective payment systems.前瞻性支付系统下急诊科产生的住院病例的财务影响。
JAMA. 1985 Oct 4;254(13):1763-71. doi: 10.1001/jama.1985.03360130099038.
5
Surgonomics: the identifier concept. Hospital charges in general surgery and surgical specialties under prospective payment systems.外科经济学：标识符概念。前瞻性支付系统下普通外科和外科专科的医院收费。
Ann Surg. 1985 Jul;202(1):119-25. doi: 10.1097/00000658-198507000-00019.
Zotero 插件