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Biomedical subjects

A E Christ

Publications and source records attributed to A E Christ.

13 recordsLinked to original sources
PubMed1989

Childhood disorder DRG: consideration for a predictive model.

The proposed Diagnosis Related Group (DRG) for prepaid child psychiatric hospitalizations is based on a mean length of stay of 6.6 days. This study examined data on 2,266 admissions to four state and four municipal hospitals providing child psychiatric care to residents of New York City. The results indicate: (1) use of this single mean is only appropriate for youngsters admitted to pediatric units and discharged with a psychiatric diagnosis but would result in substantial underpayment for acute and long-term care in psychiatric units; (2) a category reflecting type of service could be used to define a set of three DRGs that would provide more equitable reimbursement. Payment inequities arising from interhospital differences in disposition resources and treatment strategies are discussed.

Child↗
PubMed1989

Fiscal implications of a childhood disorder DRG.

There is considerable interest in the development of a viable prospective payment system for psychiatry. Under the currently proposed system, all child/adolescent psychiatric admissions would be assigned to a single DRG. An alternative set of three DRGs, based on a service variable, were previously identified. Assuming no decrease in the per diem cost for extended lengths of stay, the eight public hospitals in the sample would be compensated at 54% of cost using the single-DRG model and at 83% of cost using the three-DRG model.

Adolescent↗
PubMed1978

Assessment of cognitive organization in emotionally disturbed adolescents: a way of reducing parental perplexity?

Four adolescents of comparable age and IQ scores were described, two with primarily psychiatric diagnoses and two with additional CNS organic injuries. Despite the normal IQ scores, two had a combination of cognitive disabilities that make them highly suspect as being unable to manage their own affairs without the massive support usually reserved for the retarded population. Piaget's description of the cognitive abilities developed during the concrete operational stage of development were found to be invaluable in separating these more perplexing adolescents. Their inability to decenter, to reverse, to conserve, and to classify and abstract from this classification leads to a major series of cognitive defects and difficulties, difficulties that if not clarified for the parents, will leave them as perplexed as the professional working with these children.

Adolescent↗