| Autor: |
Fries BE; Institute of Gerontology and School of Public Health, University of Michigan, Ann Arbor 48109., Durance PW, Nerenz DR, Ashcraft ML |
| Jazyk: |
angličtina |
| Zdroj: |
Health care financing review [Health Care Financ Rev] 1993 Winter; Vol. 15 (2), pp. 31-50. |
| Abstrakt: |
In this article, a payment model is developed for a hospital system with both acute- and chronic-stay psychiatric patients. "Transition pricing" provides a balance between the incentives of an episode-based system and the necessity of per diem long-term payments. Payment is dependent on two new psychiatric resident classification systems for short- and long-term stays. Data on per diem cost of inpatient care, by day of stay, was computed from a sample of 2,968 patients from 100 psychiatric units in 51 Department of Veterans Affairs (VA) Medical Centers. Using a 9-month cohort of all VA psychiatric discharges nationwide (79,337 with non-chronic stays), profits and losses were simulated. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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