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本文引用的文献

1
The use of intensive care: a comparison of a university and community hospital.重症监护的使用：一所大学医院与社区医院的比较。
Health Care Financ Rev. 1981 Dec;3(2):49-64.
2
Case mix definition by diagnosis-related groups.按诊断相关分组进行病例组合定义。
Med Care. 1980 Feb;18(2 Suppl):iii, 1-53.
3
Hospital case mix groupings and generic algorithms.
QRB Qual Rev Bull. 1982 Jan;8(1):24-30.
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Evaluating inpatient costs: the staging mechanism.
Med Care. 1978 Mar;16(3):191-201. doi: 10.1097/00005650-197803000-00002.

疾病严重程度的衡量：跨机构比较

Measuring severity of illness: comparisons across institutions.

作者信息

Horn S D

出版信息

Am J Public Health. 1983 Jan;73(1):25-31. doi: 10.2105/ajph.73.1.25.

DOI:10.2105/ajph.73.1.25
PMID:6401200
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1650444/
Abstract

Conventional methods for classifying patients with respect to utilization of health care resources are based almost exclusively on diagnostic criteria. We review a new severity of illness index which is generic to most medical and surgical conditions in a hospital, and which has been found to produce subgroups of patients more homogeneous with respect to hospital resource use (as assessed by total charges, length of stay, routine charges, and laboratory charges) than diagnostic-related groups, staging, and generalized patient management paths. We use the severity of illness groups to compare total charges and length of stay across hospitals. We find that charges and length of stay in an academic teaching hospital are similar to those in community hospitals with and without teaching programs when controlling for severity of illness. (Am J Public Health 1983; 73:25-31.)

摘要

传统的根据医疗保健资源利用情况对患者进行分类的方法几乎完全基于诊断标准。我们回顾了一种新的疾病严重程度指数，它适用于医院中大多数内科和外科疾病，并且已发现该指数所产生的患者亚组在医院资源使用方面（通过总费用、住院时间、常规费用和实验室费用评估）比诊断相关组、分期和通用患者管理路径更具同质性。我们使用疾病严重程度分组来比较不同医院之间的总费用和住院时间。我们发现，在控制疾病严重程度后，学术教学医院的费用和住院时间与有或没有教学项目的社区医院相似。（《美国公共卫生杂志》1983年；73:25 - 31。）