摘要:

Potential reimbursement for care of burn patients according to DRG guidelines poses many problems to burn centers. The effect of referral distance on the cost of hospital care of 150 burn patients was reviewed and compared to potential prospective DRG reimbursements. Patients transferred from outside a 50-mile radius from the burn center were considered distant referrals, whereas patients received from within this radius were considered local burn patients. All three of the DRG codes (codes 457, 458, 460) showed statistically significant greater hospital costs for patients transferred from distant areas. The potential reimbursement for DRG codes 457 and 458 would have resulted in financial losses in caring for distant burn referrals, whereas all three DRG burn codes would have resulted in a positive financial balance if used to reimburse for patients transferred from within a 50-mile radius. This study suggests that referral distance should be considered in the proposed prospective payment system plan.

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID

ISSN:0273-8481    

出版商:OVID    

年代:1986

数据来源: OVID