Inpatient Length of Stay in Twin Cities Health Plans
作者:
Bryan Dowd,
Allan Johnson,
Rolf Madson,
期刊:
Medical Care
(OVID Available online 1986)
卷期:
Volume 24,
issue 8
页码: 694-710
ISSN:0025-7079
年代: 1986
出版商: OVID
关键词: HMOs;length of stay;resource use
数据来源: OVID
摘要:
In this paper we examine the relationship between inpatient length of stay and the patient's type of health insurance. The data consist of discharges in seven diagnosis-related groups (DRGs) from community hospitals in Minneapolis and St. Paul during 1982. After controlling for the effects of the patient's age, sex, medical condition, and severity of illness, as well as the hospital's size, teaching and ownership status, and average annual occupancy rate, we must reject the null hypothesis that the patient's type of health plan is unrelated to inpatient length of stay in Twin Cities community hospitals. We find that, in most cases, patients in prepaid group practices and independent practice associations exhibit significantly shorter lengths of stay than similar patients in Blue Cross and commercial health insurance plans, while Medicare and Medicaid patients exhibit significantly longer lengths of stay than those of similar commercially insured patients
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