Potter A, Binner P R, Halpern J
Am J Community Psychol. 1975 Dec;3(4):303-14. doi: 10.1007/BF00880773.
The application of output value analysis, a type of benefit/cost analysis, to a psychiatric patient population is reported. A method for discounting the value of the program if a patient was readmitted within a year after discharge was introduced. The application of this discount factor reduces the value produced by the program and thereby reduces both productivity and effectiveness indices. When applied to groups known to differ in readmission rates, such as first admissions and readmissions or voluntary and involuntary admissions, the discount factor can accentuate group differences markedly. When selected diagnostic groups were compared, the discount factor could even reverse the relative standing of the groups.
报告了将产出值分析（一种效益/成本分析类型）应用于精神病患者群体的情况。引入了一种在患者出院后一年内再次入院时对项目价值进行折扣的方法。这种折扣因素的应用会降低项目产生的价值，从而降低生产率和有效性指标。当应用于已知再入院率不同的群体，如首次入院和再次入院患者或自愿和非自愿入院患者时，折扣因素会显著加剧群体差异。当对选定的诊断组进行比较时，折扣因素甚至可能会颠倒各群体的相对排名。
