The Effect of Severity of Disease on Cost Burden of 30-Day Readmissions Following Total Joint Arthroplasty (TJA)
The Effect of Severity of Disease on Cost Burden of 30-Day Readmissions Following Total Joint Arthroplasty (TJA)
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DOI：
10.1016/j.arth.2014.03.035
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发表时间：
2014-08-01
影响因子：
3.5
通讯作者：
Bosco, Joseph A., III
中科院分区：
文献类型：
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作者：
Kiridly, Daniel N.;Karkenny, Alexa J.;Bosco, Joseph A., III
为了控制不可持续的医疗保健费用上涨，联邦政府正在试验全关节置换术的捆绑支付模式。在这种风险分担模式中，提供者获得一笔付款，其中包括TJA的费用，以及与该程序有关的任何额外医疗费用，最长可达90天。合并症的数量和严重程度强烈影响TJA患者的再入院率和再入院费用。我们从数据库中确定了2026例TJA患者的APR-DRG SOI数据用于本研究。再入院费用和再入院率都随着病情严重程度的增加而增加。再入院负担也随着SOI的增加而增加，但在极端SOI患者中增加最为明显。(C) 2014爱思唯尔公司版权所有。
In order to control the unsustainable rise in healthcare costs the Federal Government is experimenting with the bundled payment model for total joint arthroplasty (TJA). In this risk sharing model, providers are given one payment, which covers the costs of the TJA, as well as any additional medical costs related to the procedure for up to 90 days. The amount and severity of comorbid conditions strongly influence readmission rates and costs of readmissions in TJA patients. Weidentified 2026 TJA patients from our database with APR-DRG SOI data for use in this study. Both the costs of readmission and the readmission rate tended to increase as severity of illness increased. The readmission burden also increased as SOI increased, but increased most markedly in the extreme SOI patients. (C) 2014 Elsevier Inc. All rights reserved.