A PRELIMINARY CASE-MIX CLASSIFICATION-SYSTEM FOR MEDICARE HOME HEALTH CLIENTS

被引：13

作者：

BRANCH, LG ^{[1
]}

GOLDBERG, HB ^{[1
]}

机构：

[1] BOSTON UNIV,SCH MED,BOSTON,MA 02118

来源：

MEDICAL CARE | 1993年 / 31卷 / 04期

关键词：

HOME HEALTH CARE; CASE-MIX MODEL; HIERARCHICAL; MEDICARE; HOME HEALTH CLIENTS;

D O I：

10.1097/00005650-199304000-00003

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

In this study, a hierarchical case-mix model was developed for grouping Medicare home health beneficiaries homogeneously, based on the allowed charges for their home care. Based on information from a two-page form from 2,830 clients from ten states and using the classification and regression trees method, a four-component model was developed that yielded 11 case-mix groups and explained 22% of the variance for the test sample of 1,929 clients. The four components are rehabilitation, special care, skilled-nurse monitoring, and paralysis; each are categorized as present or absent. The range of mean-allowed charges for the 11 groups in the total sample was $473 to $2,562 with a mean of $847. Of the six groups with mean charges above $1,000, none exceeded 5.2% of clients; thus, the high-cost groups are relatively rare.

引用

页码：309 / 321

页数：13

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