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Quantitative care norms for a psychiatric ambulatory population in a county medical assistance program.

机译:县医疗救助计划中针对精神病患者的定量护理规范。

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摘要

An approach for developing quantitative care norms for outpatient acute psychiatric patients is presented. Both the methodological concept of the norming procedure and its application to the needs of Medicaid in Rockland County, New York are given. The methodology is totally general in that it could be applied to concerns related to characterization of services rendered in a wide variety of applications ranging from planning to utilization review. The norms developed relate both to monthly quantity of services rendered and length of active treatment period. Further, the impact of a review rule is discussed in terms of its implication to number of cases reviewed.
机译:提供了一种为门诊急性精神病患者制定定量护理规范的方法。给出了规范程序的方法论概念,并将其应用于纽约罗克兰县的医疗补助计划。该方法是完全通用的,因为它可以应用于与从计划到使用情况审查的各种应用程序中提供的服务的表征有关的关注点。制定的规范涉及每月提供的服务数量和有效治疗期的长度。此外,将根据审查规则对所审查案件数量的影响来讨论其影响。

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