Auerbach M
Nurs Outlook. 1985 Nov-Dec;33(6):290-1.
The Taylor hypothesis suggests that the effect of DRGs is an episodic increase in referrals to home health care agencies of both chronically ill and acutely ill patients. These patients will need to recuperate from the acute illness that caused their hospitalization in the first place. The New Jersey experience indicates that the tightening reimbursement system will permit a shorter episode of home care services than in the past few years. Agencies will have to provide seven-day, twenty-four-hour service. At the same time, they will have more difficulty justifying seven-day intervention to the Medicare program. Understanding the full effects of the change in health care delivery reimbursement on patient care and nursing care will require research and investigation.
泰勒假说表明，诊断相关分组（DRGs）的影响是慢性病患者和急性病患者转诊至家庭医疗保健机构的数量呈阶段性增加。这些患者首先需要从导致其住院的急性疾病中康复。新泽西州的经验表明，收紧报销制度将使家庭护理服务的时长比过去几年更短。各机构将不得不提供一周7天、一天24小时的服务。与此同时，它们要向医疗保险计划证明有必要进行为期7天的干预将变得更加困难。要了解医疗服务报销变化对患者护理和护理工作的全面影响，还需要进行研究和调查。
