Long M J, Fleming S T, Chesney J D
Department of Health Services Administration and Community Medicine, University of Alberta, Edmonton, Canada.
Int J Soc Psychiatry. 1993 Summer;39(2):108-20. doi: 10.1177/002076409303900204.
Psychiatric DRGs are identified in terms of their relative profitability within each hospital of a 386 hospital cohort. It is then determined whether hospitals admitted more of the more profitable and fewer of the less profitable patients over the period 1983-1987 (skimming). Also determined is whether hospitals discharged more of the less profitable to other short term hospitals over the same period of time (dumping). The findings generally indicate that this did not happen.
精神科诊断相关分组（DRGs）是根据其在一个由386家医院组成的队列中各医院内部的相对盈利能力来确定的。然后确定在1983年至1987年期间，医院收治的高盈利患者是否更多，低盈利患者是否更少（撇脂行为）。同时还要确定在同一时期，医院是否将更多低盈利患者转至其他短期医院（倾销行为）。研究结果总体表明这种情况并未发生。
