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Title
Medicare elective surgery outcomes and state prospective reimbursement programs.
First Author
Gaumer, Gary L
Date of Pub
1987 Supp.
Pages
17-27
Volume
Supp.
Issue
N/A
Other Authors
Poggio, Eugene; Sennett, Cary
Abstract
This article examines the relationship between the introduction of State prospective reimbursement (PR) programs and mortality rates for elective surgery. We study 15 such programs using a sample of about 40 percent of U.S. hospitals. We examine mortality data for 1974 to 1983 for these hospitals, selecting a 20-percent sample of all Medicare admissions for eight elective procedures. Indirect standardization (age, sex, procedure) was used to define mortality outcomes, and regression procedures were used to estimate PR effects that controlled for hospital, community, and other regulatory influences. Introduction of PR is found to be occasionally and inconsistently associated with increases in relative mortality.
Abstract Continued
N/A
MeSH
Data Collection : Hospital Departments/standards : Medicare/economics : Mortality : Outcome and Process Assessment (Health Care)/methods : Prospective Payment System/standards : Statistics : Surgery Department, Hospital/standards : Surgical Procedures, Operative/mortality : United States
NTIS Number
PB89-136956