Measuring Severity of Illness: Homogeneous Case Mix Groups
Measuring Severity of Illness: Homogeneous Case Mix Groups
复制标题
衡量疾病的严重程度：同质病例混合组
作者：
S. Horn;P. Sharkey;D. Bertram
在这篇文章中，我们评估了一种新的疾病严重程度指数，用于确定住院患者的病例混合分组。我们发现，与其他四种不反映患者疾病总负担的病例混合分组方法相比，考虑到患者疾病严重程度的该指数产生的分组（在总费用、住院时间、常规费用和实验室费用方面）更加均匀。这些结果对前瞻性报销方案和跨医院比较研究具有重要意义。
In this article we evaluate a new severity of illness index for use in defining case mix groupings of hospitalized patients. We find that this index, which takes into account patient severity of illness, produces groups that are more homogeneous (with respect to total charges, length of stay, routine charges, and laboratory charges) than those produced by four other case mix grouping methods that do not reflect the total burden of the patient's illness. These results have important implications for programs of prospective reimbursement and for cross-hospital comparison studies.