PMID: 2116807Aug 1, 1990Paper

Physicians' patient load per DRG, the consumption of hospital resources, and the incentives of the DRG prospective payment system

Academic Medicine : Journal of the Association of American Medical Colleges
E MuñozL Wise

Abstract

From 1985 through 1987, the authors assessed the relationship between two main variables at a large academic medical center: (1) the numbers (high or low) of patients per diagnosis-related group (DRG) treated by individual physicians and (2) hospital resource consumption of the patients. The patients were classified according to their routes of admission (emergency or non-emergency); the physicians with eight or more patients per DRG were labeled "high-patient-load physicians" (hereafter called "high-load physicians"), and those with five or fewer patients were labeled "low-patient-load physicians," ("low-load physicians"). The resource variables studied were length of stay (LOS) and total hospital cost. For the non-emergency admissions, the low-load physicians' patients had an average LOS that was 56.2% greater and an average hospital cost that was 58.3% greater than were the LOS and cost of the patients of the high-load physicians. (Both LOS and cost per patient were adjusted for DRG weight index.) This was due in part to a greater severity of illness for the patients (as measured by total ICD-9-CM codes per patient) of the low-load physicians. For the emergency admissions, the low-load physicians' patients had an average LOS...Continue Reading

Citations

May 20, 2008·Medical Teacher·Susan TallettJennifer Hurley
Dec 23, 2003·Journal of the American Geriatrics Society·Kenneth H ChuangC Seth Landefeld

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