儿童医院精神科住院费用及报销情况。
Costs and Reimbursements for Mental Health Hospitalizations at Children's Hospitals.
机构信息
Department of Pediatrics, Vanderbilt University School of Medicine, Nashville, Tennessee.
Children's Hospital Association, Lenexa, Kansas.
出版信息
J Hosp Med. 2020 Dec;15(12):727-730. doi: 10.12788/jhm.3411.
The financial impact of the rising number of pediatric mental health hospitalizations is unknown. Therefore, this study assessed costs, reimbursements, and net profits or losses for 111,705 mental health and non-mental health medical hospitalizations in children's hospitals with use of the Pediatric Health Information System and Revenue Management Program. Average financial margins were calculated as (reimbursement per day) - (cost per day), and they were lowest for mental health hospitalizations ($136/day), next lowest for suicide attempt ($518/day), and highest for other medical hospitalizations ($611/day). For 10 of 17 hospitals, margin per day for mental health hospitalizations was lower than margin per day for other medical hospitalizations. For these 10 hospitals, the total net loss for inpatient and observation status mental health hospitalizations, compared with other medical hospitalizations, was $27 million (median, $2.2 million per hospital). Financial margins were usually lower for mental health vs non-mental health medical hospitalizations.
儿科心理健康住院人数的增加所带来的财务影响尚不清楚。因此，本研究使用儿科健康信息系统和收入管理计划，评估了 111705 例儿童医院精神卫生和非精神卫生住院患者的费用、报销和净亏损或盈利。平均财务利润率的计算方法为（每日报销额）-（每日成本额），精神卫生住院患者的利润率最低（每天 136 美元），自杀未遂患者的利润率次低（每天 518 美元），其他医疗住院患者的利润率最高（每天 611 美元）。在 17 家医院中的 10 家，精神卫生住院患者的每日利润率低于其他医疗住院患者的每日利润率。对于这 10 家医院，与其他医疗住院患者相比，住院和观察状态精神卫生住院患者的总净亏损为 2700 万美元（中位数为每家医院 220 万美元）。与非精神卫生医疗住院相比，精神卫生住院的财务利润率通常较低。
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