Document Detail


Diagnostic-related groups: their impact on an inpatient rehabilitation program.
MedLine Citation:
PMID:  3122708     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Prospective payment by diagnostic-related groups (DRGs) was expected to result in early discharges from acute care hospitals. Early transfers of patients to rehabilitation programs were anticipated, since inpatient rehabilitation programs were exempt from the prospective payment plan. A retrospective study of 516 patient records at our hospital between July 1, 1983, and June 30, 1985, was undertaken to examine changes in the major parameters of the rehabilitation program. No changes in proportions of individuals by diagnostic group, age, or gender were found. No significant change in length of stay occurred. After prospective payment took effect, the average patient admitted to rehabilitation was more impaired regardless of age, yet patients over 65 years showed comparable functional levels at discharge. More medical complications during rehabilitation stay were noted. Most patients continued to return to a home environment. Most parameters did not change after the advent of DRGs.
Authors:
J T Kane; A J Gallaher; D M Davis; V Cummings
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  68     ISSN:  0003-9993     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  1987 Dec 
Date Detail:
Created Date:  1988-01-29     Completed Date:  1988-01-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  833-6     Citation Subset:  AIM; IM    
Affiliation:
Medical College of Ohio, Toledo 43699.
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MeSH Terms
Descriptor/Qualifier:
Aged
Analysis of Variance
Diagnosis-Related Groups*
Female
Humans
Inpatients* / psychology
Length of Stay
Male
Medicare / economics
Outcome and Process Assessment (Health Care)
Patient Transfer
Patients* / psychology
Rehabilitation*
Retrospective Studies
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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