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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↗
PubMed1982

Closure among U.S. community hospitals, 1976-1980: a description and a predictive model.

Closure of U.S. community hospitals during the years 1976-1980 is analyzed by describing the distributional patterns of closings among hospitals classified by certain institutional characteristics: bed size, number of facilities and services, ownership, teaching status, location in a Standard Metropolitan Statistical Area (SMSA) or in a non-SMSA, and location in one of the nine United States Census Divisions. The method of Cox regression analysis is used to show that each of these institutional characteristics is independently, and significantly, associated with closure, and to estimate the strength of the association. On the basis of this analysis, a theoretic model is constructed for estimating the relative probability of closure for any community hospital with a given set of these institutional characteristics.

Health Facilities↗