Do different case-mix measures affect assessments of provider efficiency? Lessons from the Department of Veterans Affairs.
J Ambul Care Manage
; 26(3): 229-42, 2003.
Article
em En
| MEDLINE
| ID: mdl-12856502
ABSTRACT
Although case-mix adjustment is critical for provider profiling, little is known regarding whether different case-mix measures affect assessments of provider efficiency. We examine whether two case-mix measures, Adjusted Clinical Groups (ACGs) and Diagnostic Cost Groups (DCGs), result in different assessments of efficiency across service networks within the Department of Veterans Affairs (VA). Three profiling indicators examine variation in resource use. Although results from the ACGs and DCGs generally agree on which networks have greater or lesser efficiency than average, assessments of individual network efficiency vary depending upon the case-mix measure used. This suggests that caution should be used so that providers are not misclassified based on reported efficiency.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Grupos Diagnósticos Relacionados
/
Eficiência Organizacional
/
Prestação Integrada de Cuidados de Saúde
/
Assistência Ambulatorial
/
Recursos em Saúde
/
Hospitais de Veteranos
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
J Ambul Care Manage
Ano de publicação:
2003
Tipo de documento:
Article
País de afiliação:
Estados Unidos