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在构建诊断相关分组(DRGs)中使用专科精神科诊疗机构。

Use of specialty psychiatric settings in constructing DRGs.

作者信息

Taube C A, Goldman H H, Lee E S

机构信息

Division of Biometry and Applied Sciences, National Institute of Mental Health, Rockville, Md.

出版信息

Arch Gen Psychiatry. 1988 Nov;45(11):1037-40. doi: 10.1001/archpsyc.1988.01800350071010.

DOI:10.1001/archpsyc.1988.01800350071010
PMID:3140757
Abstract

Characteristics of a psychiatric setting, such as staffing intensity and scope of services, are examined to see if they contribute to explaining variation in length of stay over that explained by commonly available patient descriptors. For short-stay admissions (less than 31 days), only a small improvement in predictive ability was found. Implications for prospective payment systems are discussed.

摘要

研究精神病治疗机构的特征,如人员配备强度和服务范围,以确定它们是否有助于解释住院时间的差异,这种差异超出了通常可用的患者描述因素所能解释的范围。对于短期住院患者(少于31天),仅发现预测能力有小幅提高。文中还讨论了对预期支付系统的影响。

相似文献

1
Use of specialty psychiatric settings in constructing DRGs.在构建诊断相关分组(DRGs)中使用专科精神科诊疗机构。
Arch Gen Psychiatry. 1988 Nov;45(11):1037-40. doi: 10.1001/archpsyc.1988.01800350071010.
2
DRGs in psychiatry. An empirical evaluation.精神病学中的疾病诊断相关分组。一项实证评估。
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Prospective payment for psychiatric hospitalization: questions and issues.精神科住院治疗的前瞻性支付:问题与事项。
Hosp Community Psychiatry. 1984 May;35(5):460-4. doi: 10.1176/ps.35.5.460.
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Prospective payment and hospital psychiatry.前瞻性支付与医院精神病学。
Hosp Community Psychiatry. 1987 Oct;38(10):1041-3. doi: 10.1176/ps.38.10.1041.
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Variation in patient routine costliness in U.S. psychiatric facilities.美国精神病治疗机构中患者常规费用的差异。
J Ment Health Policy Econ. 2005 Mar;8(1):15-28.
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Challenges in bringing exempt psychiatric services under a prospective payment system.将豁免的精神科服务纳入前瞻性付费系统所面临的挑战。
Hosp Community Psychiatry. 1985 Jul;36(7):764-9. doi: 10.1176/ps.36.7.764.
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Transfers of hospitalized psychiatric patients under Medicare's prospective payment system.医疗保险预期支付系统下住院精神科患者的转诊
Am J Psychiatry. 1990 Jan;147(1):100-5. doi: 10.1176/ajp.147.1.100.
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An alternative to DRGs. A clinically meaningful and cost-reducing approach.诊断相关分组(DRGs)的替代方案。一种具有临床意义且能降低成本的方法。
Med Care. 1986 May;24(5):407-17. doi: 10.1097/00005650-198605000-00004.
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Diagnosis-related groups for mental disorders, alcoholism, and drug abuse: evaluation and alternatives.精神障碍、酗酒和药物滥用的诊断相关分组:评估与替代方案
Hosp Community Psychiatry. 1984 May;35(5):452-5. doi: 10.1176/ps.35.5.452.
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Prospective payment for psychiatric hospitalization: context and background.精神科住院治疗的前瞻性支付:背景与环境
Hosp Community Psychiatry. 1984 May;35(5):447-51. doi: 10.1176/ps.35.5.447.

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Does psychopathology at admission predict the length of inpatient stay in psychiatry? Implications for financing psychiatric services.入院时的精神病理学是否能预测精神科住院时间的长短?对精神科服务融资的影响。
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Variables affecting length of psychiatric inpatient treatment.
影响精神科住院治疗时长的变量。
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