Harada N, Kominski G, Sofaer S
Geriatric Research, Education, and Clinical Center, Veterans Administration Medical Center, Los Angeles CA 90073.
Inquiry. 1993 Spring;30(1):54-63.
Efforts are currently underway to develop a prospective payment system for inpatient medical rehabilitation. In this study, a clinically based, condition-specific patient classification scheme was developed that includes 33 patient groupings, referred to as Functional Related Groups (FRGs). Each FRG is comprised of patients with similar clinical characteristics and resource use, as measured by length of stay. From a policy perspective, the FRGs minimize the adverse incentives that may develop in the selection of patients for admission to the rehabilitation facility. The FRGs, therefore, may be used as a basis in the development of a prospective reimbursement system for rehabilitation services.
目前正在努力开发一种住院医疗康复的前瞻性支付系统。在本研究中，开发了一种基于临床、针对特定病情的患者分类方案，其中包括33个患者分组，称为功能相关组（FRG）。每个FRG由具有相似临床特征和资源使用情况（以住院时间衡量）的患者组成。从政策角度来看，FRG将康复机构在选择入院患者时可能产生的不良激励降至最低。因此，FRG可作为开发康复服务前瞻性报销系统的基础。
