爱荷华州医疗保险患者中败血症的假性流行。
A pseudo-epidemic of septicemia among Medicare patients in Iowa.
作者信息
Helms C M
出版信息
Am J Public Health. 1987 Oct;77(10):1331-2. doi: 10.2105/ajph.77.10.1331.
Abstract
Between 1980 and 1986, Medicare discharges for DRG 416 (Septicemia Age greater than or equal to 18) increased dramatically in Iowa. The rate rose most steeply between 1983 and 1984. Relative bacteria-specific septicemia rates did not change substantially. The proportion of citing hospitals increased as did the number of citations per citing hospital. The data are best explained by increased physician-hospital reporting. A component of DRG (diagnosis related group) "creep" could not be excluded.
摘要
1980年至1986年间，爱荷华州医疗保险中诊断相关组416（年龄大于或等于18岁的败血症）的出院人数急剧增加。1983年至1984年间增长率最高。相对特定细菌败血症发病率没有实质性变化。引用医院的比例增加，每个引用医院的引用次数也增加。这些数据最好的解释是医生-医院报告增加。不能排除诊断相关组“蔓延”的因素。
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