Palley M A, Conger S
Computer Information Systems, Baruch College, Mount Sinai School Medicine, New York, NY, USA.
Health Care Manage Rev. 1995 Spring;20(2):74-84.
Current initiatives in health care administration use formula-based approaches to reimbursement. Examples of such approaches include capitation and diagnosis related groups (DRGs). These approaches seek to contain medical costs and to facilitate managerial control over scarce health care resources. This article considers various characteristics of formula-based reimbursement, their operationalization on hospital information systems, and how these relate to hospital compliance costs.
当前医疗保健管理举措采用基于公式的报销方法。此类方法的示例包括按人头付费和诊断相关分组(DRGs)。这些方法旨在控制医疗成本,并便于对稀缺的医疗资源进行管理控制。本文探讨了基于公式报销的各种特征、它们在医院信息系统中的实施情况,以及这些与医院合规成本的关系。