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Rapid Estimation of Hospitalization Charges From a Brief Medical Record ReviewEvaluation of a Multivariate Prediction Model

 

作者: Walter Kukull,   Thomas Koepsell,   Douglas Conrad,   Virginia Immanuel,   Jan Prodzinski,   Carol Franz,  

 

期刊: Medical Care  (OVID Available online 1986)
卷期: Volume 24, issue 10  

页码: 961-966

 

ISSN:0025-7079

 

年代: 1986

 

出版商: OVID

 

关键词: regression models;bootstrap;charge imputation, non-fee-for-service;hospitalization charges

 

数据来源: OVID

 

摘要:

In settings where an itemized hospital bill is not generated, estimation of hospitalization charges for research or administrative purposes can be a laborious task. This article examines the extent to which the number of hospital days spent outside an intensive care unit (ICU), number of days in an ICU, number of laboratory tests performed, number of x-rays, and number of surgeries can be used in a multiple regression equation to impute inpatient charges for a sample of 103 hospitalizations at a Veterans Administration hospital. These predictor variables, all of which are readily ascertained in a brief medical record review, accounted for about 97% of the variance in imputed hospital charges. The bootstrap method was applied for validation of the prediction equation. Application of the method described here may be of value to researchers concerned with hospital charge estimation in non-fee-for-service settings.

 

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