Panniers T L
QRB Qual Rev Bull. 1987 May;13(5):158-65. doi: 10.1016/s0097-5990(16)30125-7.
Health care providers continue the debate over why it costs more to care for patients than the DRG reimbursement rate allows. This study examines severity of illness (measured by the AS-SCORE rating), quality of care (measured by the Adverse Patient Occurrences Inventory), and physician practice patterns as sources of variability in hospital resource use by patients in two DRGs. Both instruments independently account for some of the intra-DRG variability in length of stay and total charges. The study indicates that there is a positive relationship between severity of illness and decreased quality of care and that physician practice does not affect variation in resource use when cardiovascular complications, severity of illness, and quality of care are controlled.
医疗服务提供者们仍在争论为何照顾患者的成本高于诊断相关分组（DRG）报销率所允许的水平。本研究考察了疾病严重程度（通过AS-SCORE评分衡量）、护理质量（通过不良患者事件清单衡量）以及医生的执业模式，将其作为两个DRG中患者医院资源使用差异的来源。这两种工具各自独立地解释了部分DRG组内住院时间和总费用的差异。研究表明，疾病严重程度与护理质量下降之间存在正相关关系，并且在控制了心血管并发症、疾病严重程度和护理质量的情况下，医生的执业模式不会影响资源使用的差异。
