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华盛顿州艾滋病患者的医院收费情况：利用全州范围的医院出院数据库。

Hospital charges for people with AIDS in Washington State: utilization of a statewide hospital discharge data base.

作者信息

Lafferty W E, Hopkins S G, Honey J, Harwell J D, Shoemaker P C, Kobayashi J M

机构信息

Seattle-King County Department of Public Health, AIDS Surveillance Unit, WA 98101.

出版信息

Am J Public Health. 1988 Aug;78(8):949-52. doi: 10.2105/ajph.78.8.949.

DOI:10.2105/ajph.78.8.949
PMID:3133953
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1349858/
Abstract

We analyzed Washington State inpatient hospital utilization for 165 AIDS (acquired immunodeficiency syndrome) cases with 344 hospitalizations from July 1984 through December 1985. We found that mean charges per hospitalization were $9,166 and mean length of stay was 13.3 days. In addition, evaluation of two diagnosis-related groups (DRGs 079 and 398) commonly used for AIDS hospitalizations showed that AIDS hospitalizations were substantially more expensive than non-AIDS hospitalizations within the same diagnosis-related group. AIDS-specific diagnosis-related groups may be necessary to achieve a balance between inpatient charges and reimbursements.

摘要

我们分析了1984年7月至1985年12月期间华盛顿州165例艾滋病（获得性免疫缺陷综合征）患者的住院情况，这些患者共住院344次。我们发现，每次住院的平均费用为9166美元，平均住院时长为13.3天。此外，对常用于艾滋病住院治疗的两个诊断相关分组（DRG 079和398）的评估显示，在同一诊断相关分组内，艾滋病住院治疗的费用比非艾滋病住院治疗的费用高得多。可能需要设立艾滋病特定诊断相关分组，以实现住院费用与报销之间的平衡。

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本文引用的文献

1
The economic impact of the first 10,000 cases of acquired immunodeficiency syndrome in the United States.美国首例10000例获得性免疫缺陷综合征的经济影响。
JAMA. 1986 Jan 10;255(2):209-11.
2
Medical care costs of patients with AIDS in San Francisco.旧金山艾滋病患者的医疗费用。
JAMA. 1986 Dec 12;256(22):3103-6.
3
Medical care costs of AIDS in Massachusetts.马萨诸塞州艾滋病的医疗费用。
JAMA. 1986 Dec 12;256(22):3107-9.
4
The provision and financing of medical care for AIDS patients in US public and private teaching hospitals.美国公立和私立教学医院为艾滋病患者提供医疗服务及资金支持的情况。
JAMA. 1987 Sep 11;258(10):1343-6.

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