Fulchiero A, Miller S, Foley C R, Ballantine H T, Amorosino C S
N Engl J Med. 1978 Sep 14;299(11):574-80. doi: 10.1056/NEJM197809142991104.
To analyze the effect of the Commonwealth Health Agencies Monitoring Program on the length of stay of a sample of Massachusetts Medicaid patients, we compared their experience with that of non-Medicaid patients. We found a consistently decreasing trend in the length of stay of Medicaid patients during the 2 1/2-year period studied. The average length of stay of Medicaid patients decreased by 11.9 per cent relative to the norm, whereas the non-Medicaid length of stay decreased by only 6.6 per cent. We infer that the Program may be credited within the 5.3 per cent differential decrease. The consistency and reliability of the data suggest that similar results may be extrapolated to the hospitals not sampled. We conclude that Professional Standards Review Organizations, of which this program was a precursor, can be cost effective, given an expanded review mandate and the application of suibable evaluative processes.
为分析英联邦卫生机构监测项目对马萨诸塞州医疗补助患者样本住院时间的影响，我们将他们的经历与非医疗补助患者进行了比较。我们发现在所研究的两年半期间，医疗补助患者的住院时间呈持续下降趋势。医疗补助患者的平均住院时间相对于标准下降了11.9%，而非医疗补助患者的住院时间仅下降了6.6%。我们推断该项目可能在5.3%的差异下降中发挥了作用。数据的一致性和可靠性表明，类似结果可能适用于未抽样的医院。我们得出结论，作为该项目前身的专业标准审查组织，在扩大审查授权并应用适当评估流程的情况下，可以实现成本效益。
