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. 1991 Winter;13(2):29-40.

Purpose of admission and resource use during cancer hospitalizations

L I Iezzoni  1 , M G Henderson, A Bergman, R E Drews
Affiliations

Purpose of admission and resource use during cancer hospitalizations

L I Iezzoni et al. Health Care Financ Rev. 1991 Winter.

Abstract

This study examined the role of purpose of admission (POA) in hospitalizations for lung, colon, and breast cancers, using the 1985 20-percent Medicare provider analysis and review file. Six POA categories were created from discharge abstract data. Average hospitalization charges, per diem charges, length of stay, and rates of death varied significantly by POA (p < .001). Rural and small hospitals were more likely to admit patients for palliation, while urban and large hospitals admitted relatively more patients for active interventions (p < .0001). POA and indicators of case complexity added only modestly to the ability of diagnosis-related groups to predict hospitalization charges.

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Figure 1
Figure 1. Decision procedure for establishing categories of purpose of admission
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References

    1. Gertman PM, Lowenstein S. Health Care Financing Review. 1984 Annual Supplement. Washington: U.S. Government Printing Office; 1984. A research paradigm for severity of illness: Issues for the diagnosis-related group system; pp. 79–90. HCFA Pub. No. 03194. Office of Research and Demonstrations, Health Care Financing Administration. - PMC - PubMed
    1. Green J, Wintfeld N, Sharkey P, Passman LJ. The importance of severity of illness in assessing hospital mortality. Journal of the American Medical Association. 1990 Jan.263(2):241–246. - PubMed
    1. Federal Register: Medicare program; Changes to the inpatient hospital prospective payment system and fiscal year 1991 rates; final rules. No. 171. Vol. 55. Washington: U.S. Government Printing Office; 1990. pp. 35990–36175. Office of the Federal Register, National Archives and Records Administration. - PubMed
    1. Henderson M, Lion J, Bergman A, et al. Predicting costs of hospitalization for cancer care. Waltham, MA: Bigel Institute for Health Policy, Heller School, Brandeis University; 1990. Report prepared under Cooperative Agreement Number 17-C-98922/1-02 from the Health Care Financing Administration.
    1. Hsia DS, Krushat M, Fagan AB, et al. Accuracy of diagnostic coding for Medicare patients under the prospective-payment system. New England Journal of Medicine. 1988 Feb.318(6):352–355. - PubMed

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