Lagoe R J, Cady D M
Arch Surg. 1986 Sep;121(9):1006-9. doi: 10.1001/archsurg.1986.01400090032005.
Utilization rates for total cholecystectomy by diagnosis related group in Sacramento, Calif, and Syracuse, NY, between 1981 and 1984 were studied. The two areas had similar hospital discharge rates and bed supplies. The data included 8989 discharges. Discharge rates for the combined cholecystectomy diagnosis related groups differed by only 1% to 3%. Syracuse mean stays for these categories exceeded those of Sacramento by 34% to 38% and were the principal cause of differences in hospital utilization for the procedure. These differences were related to more conservative community-wide physician practice patterns in Syracuse rather than to differences in the composition of the samples by age and payor status, or to the impact of length of stay variability. In the future, shorter stays for cholecystectomy, such as those of Sacramento, may become the norm for the entire nation.
对1981年至1984年间加利福尼亚州萨克拉门托市和纽约州锡拉丘兹市按诊断相关分组的胆囊切除术总使用率进行了研究。这两个地区的医院出院率和床位供应情况相似。数据包括8989例出院病例。胆囊切除术诊断相关分组的综合出院率仅相差1%至3%。锡拉丘兹市这些类别的平均住院天数比萨克拉门托市超出34%至38%，这是该手术医院使用率存在差异的主要原因。这些差异与锡拉丘兹市更保守的社区医生执业模式有关，而非与样本按年龄和付款人身份的构成差异或住院天数变异性的影响有关。未来，像萨克拉门托市那样较短的胆囊切除术后住院天数可能会成为全国的标准。
