Why has hospital length of stay declined? An evaluation of alternative theories.
Soc Sci Med
; 22(1): 63-73, 1986.
Article
em En
| MEDLINE
| ID: mdl-3952529
ABSTRACT
This study evaluates the importance of several potential determinants of observed decreases in hospital stays for patients undergoing each of 11 surgical procedures using a panel of 521 hospitals covering 1971-1981. Observed decreases in stays for these patients were substantial. If anything, the complexity of cases treated rose and, for this reason, stays should have risen. Neither state prospective payment nor Professional Standards Review Organization programs reduced stays and may have increased them. Competitive influences had no effect. Changes in payer mix and hospital ownership were too small to have had an impact. Evidently the decreases were mainly due to improvements in surgical technique and other changes in medical practice. Several implications for Medicare's new payment system are discussed.
Buscar no Google
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Operatórios
/
Tempo de Internação
Tipo de estudo:
Guideline
Limite:
Adolescent
/
Adult
/
Aged
/
Child
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Soc Sci Med
Ano de publicação:
1986
Tipo de documento:
Article