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Title
Potential for inpatient-outpatient substitution with diagnosis-related groups.
First Author
Roos, Noralou P
Date of Pub
1989 Summer
Pages
31-38
Volume
10
Issue
4
Other Authors
Freeman, Jean L
Abstract
Through analysis of data from the universal health insurance system in Manitoba, Canada, surgical diagnosis-related groups (DRG's) with the greatest potential for inpatient-outpatient substitution are identified. Candidates for both "inpatient shift" and "outpatient shift" are discussed. It is also suggested that determination of the procedure chiefly responsible for hospital admission complements approaches to improve the DRG classification system by measuring severity of illness. Thus, health care planners' efforts may be facilitated in establishing effective payment systems, though definitive guidelines are not provided.
Abstract Continued
N/A
MeSH
Aged : Ambulatory Surgical Procedures/economics : Comparative Study : Diagnosis-Related Groups/economics : Hospitalization/economics : Human : Inpatients : Insurance, Health/utilization : Insurance, Surgical/utilization : Manitoba : Medicare : Outpatients : Prospective Payment System/economics : Support, Non-U.S. Gov't : Surgical Procedures, Operative/classification/economics : United States
NTIS Number
PB89-232342