Diagnosis-related groups and general hospital psychiatry: the APA Study
American Journal of PsychiatryPublished 1 February 1986
Joseph T. English, Steven S. Sharfstein, Donald J. Scherl, Boris M. Astrachan, Irvin L. Muszynski
Citations160
SJR quartileQ1
SJR score5.27
SNIP3.68
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TL;DR
There was substantial inaccuracy in the psychiatric DRGs' prediction of resource use, which could lead to inappropriate discharge of patients and financial risk to hospitals that treat more severe cases.
Abstract
Psychiatric units in general hospitals are exempt from diagnosis-related groups (DRGs), a system of per case prospective payment that is used for the majority of patients covered by Medicare. The American Psychiatric Association purchased a large hospital discharge data base and studied the potential impact of DRGs on psychiatric patients and inpatient psychiatric units in general hospitals. There was substantial inaccuracy in the psychiatric DRGs' prediction of resource use, which could lead to inappropriate discharge of patients and financial risk to hospitals that treat more severe cases. The authors advocate further research because psychiatry must anticipate prospective payment in the future.
Keywords
MedicineEconomics, Econometrics and FinanceHealth Professions
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