Length-of-Stay Variations Within ICDA-8 Diagnosis-Related Groups
作者:
S E Berki,
Marie Ashcraft,
William Newbrander,
期刊:
Medical Care
(OVID Available online 1984)
卷期:
Volume 22,
issue 2
页码: 126-142
ISSN:0025-7079
年代: 1984
出版商: OVID
关键词: length of stay;DRGs;complexity/severity;hospital reimbursement;resource consumption;service intensity
数据来源: OVID
摘要:
The number of bed clays per inpatient episode, the length of stay (LOS), is a major indicator of hospital performance and a basic measure of patients' resource consumption. Hospital reimbursement on the basis of treated cases requires a system for accurately identifying case categories. Diagnosis Related Groups (DRGs) have been proposed for this purpose. An initial study to analyze variations in length of stay and resource consumption within DRGs is presented. Regression analysis of variation in ALOS for 7 DRGs, in terms of 8-10 independent variables not included in the classification scheme itself, was done. Results indicate that 30-65% of the large intra-DRG LOS variations are explainable by indicators of case complexity and severity despite the homogeneity claimed for the DRGs. For certain DRGs, such variations are also related to admission factors. Results indicate the need for more precise patient taxonomies than the ICDA-8-based DRGs.
点击下载:
PDF
(1048KB)
返 回