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Financial risk hospital cost complications and comorbidities in surgical noncomplication- and noncomorbidity-stratified diagnostic related groups.

机译：手术非并发症和非合并症分层诊断相关组的财务风险住院费用并发症和合并症。

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摘要

The purpose of this study was to analyze resource consumption in the 147 non-complicating condition-stratified surgical diagnostic related groups (DRGs). Analysis of 2647 surgical patients in these non-CC-stratified surgical DRGs demonstrated that patients with more CCs per DRG generated higher total hospital costs, a longer hospital length of stay, a greater percentage of procedures per patient, financial risk under DRG payment, more outliers, and a higher mortality rates than patients in these same DRGs with fewer CCs. These findings suggest that the current DRG classification system may be inequitable to certain groups of patients or types of hospitals vis-à-vis the non-CC-stratified surgical DRGs. Financial disincentives to treat these patients may affect both their access and quality of care in the future.

机译：这项研究的目的是分析147个无病情分层的外科诊断相关组（DRG）的资源消耗。对这些非CC分层手术DRG中2647名手术患者的分析表明，每个DRG CC较多的患者产生了更高的总住院费用，更长的住院时间，每个患者的手术百分比更高，在DRG支付下的财务风险，更多与这些相同DRG中CC较少的患者相比，异常值和死亡率更高。这些发现表明，相对于非CC分层的外科手术DRG，当前的DRG分类系统对于某些类型的患者或医院类型可能是不平等的。治疗这些患者的经济障碍可能会影响他们将来的就诊机会和护理质量。

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期刊名称 Annals of Surgery
作者
E Munoz; H Sterman; J Cohen; J Goldstein; I B Margolis; L Wise;
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年(卷),期 1988(207),3
年度 1988
页码 305–309
总页数 5
原文格式 PDF
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中图分类外科学;
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Financial risk hospital cost complications and comorbidities in surgical noncomplication- and noncomorbidity-stratified diagnostic related groups.

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