医院病例组合复杂性的决定因素。
Determinants of hospital casemix complexity.
作者信息
Becker E R, Steinwald B
出版信息
Health Serv Res. 1981 Winter;16(4):439-58.
Abstract
Using the Commission on Professional and Hospital Activities' Resource Need Index as a measure of casemix complexity, this paper examines the relative contributions of teaching commitment and other hospital characteristics, hospital service and insurer distributions, and area characteristics to variations in casemix complexity. The empirical estimates indicate that all three types of independent variables have a substantial influence. These results are discussed in light of recent casemix research as well as current policy implications.
摘要
本文以专业和医院活动委员会的资源需求指数作为病例组合复杂程度的衡量指标，考察了教学投入及其他医院特征、医院服务与保险公司分布，以及地区特征对病例组合复杂程度差异的相对贡献。实证估计表明，所有三类自变量都有重大影响。结合近期病例组合研究及当前政策影响对这些结果进行了讨论。
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本文引用的文献
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The impact of case mix on hospital cost: a comparative analysis.病例组合对医院成本的影响：一项比较分析。
Inquiry. 1980 Winter;17(4):357-67.
2
Measurement of hospital cost variation: case mix, service intensity, and input productivity factors.医院成本差异的测量：病例组合、服务强度和投入生产率因素。
Health Serv Res. 1974 Winter;9(4):293-307.
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Quality of patient care-a measurement of change: the staging concept.患者护理质量——变化的衡量：分期概念
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Enfranchisement and rationing: effects of Medicare on discretionary hospital use.医保覆盖与医疗资源分配：医疗保险对医院自主医疗使用的影响
Health Serv Res. 1975 Spring;10(1):51-62.
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Evaluating inpatient costs: the staging mechanism.
Med Care. 1978 Mar;16(3):191-201. doi: 10.1097/00005650-197803000-00002.
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The effects of patient mix and service mix on hospital costs and productivity.患者组合和服务组合对医院成本及生产率的影响。
Top Health Care Financ. 1977 Winter;4(2):63-82.
7
Indexes of severity: conceptual development.严重程度指标：概念发展
Health Serv Res. 1979 Spring;14(1):56-67.
8
An analysis of case mix complexity using information theory and diagnostic related grouping.使用信息论和诊断相关分组对病例组合复杂性进行分析。
Med Care. 1979 Apr;17(4):382-9. doi: 10.1097/00005650-197904000-00006.
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Case mix and resource use.病例组合与资源利用。
Inquiry. 1975 Dec;12(4):300-12.
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