| 来源类型 | Working Paper |
| 规范类型 | 报告 |
| DOI | 10.3386/w1159 |
| 来源ID | Working Paper 1159 |
| Case Mix, Costs, and Outcomes: Differences Between Faculty and Community Services in a University Hospital | |
| Alan M. Garber; Victor R. Fuchs; James F. Silverman | |
| 发表日期 | 1983-06-01 |
| 出版年 | 1983 |
| 语种 | 英语 |
| 摘要 | In order to gain insight into the possible consequences of prospective payment for university hospitals, we studied 2,025 admissions to the faculty and community services of a university hospital, measuring differences in case mix, costs, and outcomes. The faculty service case mix was disproportionately weighted toward the more costly diagnoses, but even after adjustment for diagnosis-related groups (DRGs), costs were 11 percent higher on the faculty service. The differential was proportionately greater for diagnostic costs than for routine or treatment costs, and the differential was particularly large (70 percent) for patients with a predicted probability of death (DTHRISK) of .25 or greater.The in-hospital mortality rate was appreciably lower on the faculty service after adjustment for case mix and patient characteristics. The mortality differential between the two services was particularly large for patients in the high death risk category. Comparison of a matched sample of 51 pairs of admissions from the high death risk category confirmed the above results with respect to costs and in-hospital mortality, but follow-up revealed that the mortality rates were equal for the two services at nine months after discharge. |
| 主题 | Public Economics |
| URL | https://www.nber.org/papers/w1159 |
| 来源智库 | National Bureau of Economic Research (United States) |
| 引用统计 | |
| 资源类型 | 智库出版物 |
| 条目标识符 | http://119.78.100.153/handle/2XGU8XDN/558381 |
| 推荐引用方式 GB/T 7714 | Alan M. Garber,Victor R. Fuchs,James F. Silverman. Case Mix, Costs, and Outcomes: Differences Between Faculty and Community Services in a University Hospital. 1983. |
| 条目包含的文件 | ||||||
| 文件名称/大小 | 资源类型 | 版本类型 | 开放类型 | 使用许可 | ||
| w1159.pdf（270KB） | 智库出版物 | 限制开放 | CC BY-NC-SA | 浏览 | ||
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