Variations in hospital resource use for medicare and privately insured populations in California
Variations in hospital resource use for medicare and privately insured populations in California
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DOI：
10.1377/hlthaff.27.2.w123
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发表时间：
2008-03-01
期刊：
影响因子：
9.7
通讯作者：
Wennberg, John E.
中科院分区：
文献类型：
--
作者：
Baker, Laurence C.;Fisher, Elliott S.;Wennberg, John E.
用于护理慢性病医疗保险按服务收费（FFS）患者的资源量在各医院之间差异很大。我们研究了加州医院在医疗保险健康维护组织（HMO）和私人保险公司覆盖的慢性病患者的医院资源使用方面的差异，发现所有研究的覆盖组都存在很大差异。基于Medicare FFS数据的资源使用措施通常反映其他付款人的明显模式。如果资源密集型医院更接近资源密集型医院，那么以前的节省估计仅基于Medicare FFS支出，可能会低估考虑其他付款人时可能的节省。
The amount of resources used in the care of chronically ill Medicare fee-for-service (FFS) patients varies widely across hospitals. We studied variations across California hospitals in hospital resource use for chronically ill patients covered by Medicare health maintenance organizations (HMOs) and private insurers and found substantial variation in all of the coverage groups studied. Resource-use measures based on Medicare FFS data often reflect patterns evident for other payers. Previous estimates of savings if the most resource-intensive hospitals more closely resembled less resource-intensive hospitals, based on just Medicare FFS spending, could underestimate possible savings when other payers are taken into account.