Essock-Vitale S
Hosp Community Psychiatry. 1987 Mar;38(3):263-9. doi: 10.1176/ps.38.3.263.
A study to determine patient characteristics that are predictive of treatment costs was conducted at the Neuropsychiatric Institute and Hospital of the University of California, Los Angeles. Using nursing care time utilized and length of stay as measures of resource consumption, the study identified several characteristics, such as age and the presence of medical comorbidities, that are predictive of the costs of delivering care. Besides providing information valuable to administrators for product costing, the results of the study augment recent research demonstrating the inadequacy of relying on diagnosis alone--as is the case for psychiatric services under the current Medicare prospective payment system--to predict resource consumption.
加利福尼亚大学洛杉矶分校神经精神病学研究所及医院开展了一项研究,以确定能够预测治疗费用的患者特征。该研究将护理时间利用情况和住院时长作为资源消耗的衡量指标,确定了几个能够预测护理成本的特征,如年龄和是否存在合并症。该研究结果不仅为管理人员进行产品成本核算提供了有价值的信息,还进一步证明了仅依靠诊断(如现行医疗保险预期支付系统下的精神科服务)来预测资源消耗是不够的,从而补充了近期的相关研究。