PMID: 12173495Aug 14, 2002Paper

Predicting the cost of hospital stay for stroke patients: the use of diagnosis related groups

Health Policy
Silvia EversGerhard Blaauw

Abstract

In order to provide tailor-made care, governments are considering the implementation of output-pricing based on hospital case-mix measures, such as diagnosis related groups (DRG). The question is whether the current DRG classification system can provide a satisfactory prediction of the variance of costs in stroke patients and if not, in what way other variables may enhance this prediction. In this study, data from 731 stroke patients hospitalized at University Hospital Maastricht during 1996-1998 are used in the cost analysis. The DRG classification for this group uses information--in addition to the DRG classification operation or no operation--on the patient's age combined with discharge status. The results of regression analysis show that using DRGs, the variance explained in the costs amounts to 34%. Adding other variables to the DRGs, the variance explained increases to about 61%. Additional factors highly correlating with inpatient costs are the level of functioning after stroke, comorbidity, complications, and 'days of stay for non-medical reasons'. Costs decreased for stroke patients discharged during the latter part of the years studied, and if stroke patients happened to die during their hospital stay. The results do ...Continue Reading

References

Jun 1, 1990·American Journal of Physical Medicine & Rehabilitation·J S OsbergG DeJong
Feb 1, 1986·The American Journal of Psychiatry·J T EnglishI L Muszynski
Jun 1, 1987·The Journal of Nursing Administration·C H Seitz, S R Edwardson
Jan 1, 1985·Health Care Management Review·S A Finkler
Dec 1, 1985·Journal of Epidemiology and Community Health·D T Wade, R Langton Hewer
Apr 1, 1996·Stroke; a Journal of Cerebral Circulation·J H van der MeulenJ D Habbema
Jun 15, 1996·BMJ : British Medical Journal·R J DavenportC P Warlow
Dec 1, 1995·International Journal for Quality in Health Care : Journal of the International Society for Quality in Health Care·M HasanB K Bhowmick
Nov 1, 1996·American Journal of Physical Medicine & Rehabilitation·L BrosseauY L Boulanger
Jan 1, 1997·Stroke; a Journal of Cerebral Circulation·A van StratenM Limburg
Mar 1, 1997·American Journal of Physical Medicine & Rehabilitation·M E Segal, J Whyte
Jul 1, 1997·Stroke; a Journal of Cerebral Circulation·S M EversA J Ament
Jun 10, 1998·Clinical Rehabilitation·E A Hakim, A M Bakheit
Nov 20, 1998·Archives of Physical Medicine and Rehabilitation·R L HarveyS Diaz
Aug 5, 1996·Quality in Health Care : QHC·W J Scholte op ReimerG A van den Bos
Feb 27, 2001·Cerebrovascular Diseases·S M EversJ A Maarse

❮ Previous
Next ❯

Citations

Jul 28, 2004·Health Policy·Silvana QuagliniUNKNOWN GLADIS Study Group (Guideline Application for the Decision making in Ischemic Stroke)
Dec 14, 2004·BMJ : British Medical Journal·Derick T Wade, Peter W Halligan
Oct 12, 2010·PloS One·Jade W WeiUNKNOWN ChinaQUEST Investigators
Sep 20, 2012·Health Economics·Mikko Peltola, UNKNOWN EuroDRG group
Dec 1, 2007·The International Journal of Health Planning and Management·Robert RamiarinaWagner Ca Pereira
Feb 14, 2014·Osong Public Health and Research Perspectives·Sang Mi KimJung-Kyu Kang
Mar 4, 2011·Australian Health Review : a Publication of the Australian Hospital Association·Friedbert KohlerCarol E Connolly
Jan 24, 2007·Policy, Politics & Nursing Practice·John M WeltonMary H Fischer
Oct 11, 2003·Stroke; a Journal of Cerebral Circulation·Ku-Chou Chang, Mei-Chiun Tseng
Dec 26, 2008·Stroke; a Journal of Cerebral Circulation·Ramon Luengo-FernandezPeter M Rothwell
Dec 6, 2019·The Journal of Cardiovascular Nursing·Gianluca PucciarelliRosaria Alvaro
Oct 23, 2008·Health Information Management : Journal of the Health Information Management Association of Australia·Shymala G Nadathur
Jan 25, 2008·Health Information Management : Journal of the Health Information Management Association of Australia·Shyamala Nadathur, Andrea Groom

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Landau-Kleffner Syndrome

Landau Kleffner syndrome (LKS), also called infantile acquired aphasia, acquired epileptic aphasia, or aphasia with convulsive disorder, is a rare childhood neurological syndrome characterized by the sudden or gradual development of aphasia (the inability to understand or express language) and an abnormal electroencephalogram. Discover the latest research on LKS here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.