Acute physiology and chronic health evaluation (APACHE II) and Medicare reimbursement
Acute physiology and chronic health evaluation (APACHE II) and Medicare reimbursement
复制标题
DOI：
--
复制
发表时间：
1984-11
影响因子：
--
通讯作者：
D. Wagner;E. Draper
中科院分区：
文献类型：
--
作者：
D. Wagner;E. Draper
本文描述了急性生理学和慢性健康评价（APACHE）II的急性生理学评分（APS）的潜力，可用作诊断相关组（DRG）或其他诊断分类的严重程度调整。APS是由一个相对值量表定义的，该量表适用于12个客观生理变量，这些变量在大多数住院患者入院后不久进行常规测量。对于重症监护患者，入院时的APS与13家大型医院的5，790例连续入院重症监护的后续资源成本密切相关，包括诊断和诊断内。APS还可用于评估护理质量、医疗技术以及对不断变化的财务激励措施的反应。
This article describes the potential for the acute physiology score (APS) of acute physiology and chronic health evaluation (APACHE) II, to be used as a severity adjustment to diagnosis-related groups (DRG's) or other diagnostic classifications. The APS is defined by a relative value scale applied to 12 objective physiologic variables routinely measured on most hospitalized patients shortly after hospital admission. For intensive care patients, APS at admission is strongly related to subsequent resource costs of intensive care for 5,790 consecutive admissions to 13 large hospitals, across and within diagnoses. The APS could also be used to evaluate quality of care, medical technology, and the response to changing financial incentives.