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J. Kosecoff, K. Kahn, W. Rogers, E. Reinisch, M. Sherwood, Lisa Rubenstein, D. Draper, C. Roth, C. Chew, R. Brook (1990)
Prospective payment system and impairment at discharge. The 'quicker-and-sicker' story revisited.JAMA, 264 15
David Draper, Katherine Kahn, Ellen Reinisch, M. Sherwood, M. Carney, J. Kosecoff, E. Keeler, William Rogers, H. Savitt, Harris Allen, Kenneth Wells, David Reboussin, R. Brook (1990)
Studying the effects of the DRG-based prospective payment system on quality of care. Design, sampling, and fieldwork.JAMA, 264 15
Lisa Rubenstein, K. Kahn, E. Reinisch, M. Sherwood, W. Rogers, C. Kamberg, D. Draper, R. Brook (1990)
Changes in quality of care for five diseases measured by implicit review, 1981 to 1986.JAMA, 264 15
S. Bedell, T. Delbanco (1984)
Choices about cardiopulmonary resuscitation in the hospital. When do physicians talk with patients?The New England journal of medicine, 310 17
Carl Schramm, Jon Gabel (1988)
Prospective payment. Some retrospective observations.The New England journal of medicine, 318 25
K. Kahn, W. Rogers, Lisa Rubenstein, M. Sherwood, E. Reinisch, E. Keeler, D. Draper, J. Kosecoff, R. Brook (1990)
Measuring quality of care with explicit process criteria before and after implementation of the DRG-based prospective payment system.JAMA, 264 15
D. Schiedermayer (1988)
The decision to forgo CPR in the elderly patient.JAMA, 260 14
H. Scheffé (1960)
The Analysis of Variance
Katherine Kahn, Lisa Rubenstein, David Draper, J. Kosecoff, William Rogers, E. Keeler, R. Brook (1990)
The effects of the DRG-based prospective payment system on quality of care for hospitalized Medicare patients. An introduction to the series.JAMA, 264 15
H. Smits, R. Watson (1984)
DRGs and the future of surgical practice.The New England journal of medicine, 311 25
Gilbert Omenn, Douglas Conrad (1984)
Implications of DRGs for clinicians.The New England journal of medicine, 311 20
E. Keeler, K. Kahn, D. Draper, M. Sherwood, Lisa Rubenstein, E. Reinisch, J. Kosecoff, R. Brook (1990)
Changes in sickness at admission following the introduction of the prospective payment system.JAMA, 264 15
Katherine Kahn, E. Keeler, M. Sherwood, William Rogers, David Draper, S. Bentow, E. Reinisch, Lisa Rubenstein, J. Kosecoff, R. Brook (1990)
Comparing outcomes of care before and after implementation of the DRG-based prospective payment system.JAMA, 264 15
R. Wonnacott, T. Wonnacott (1972)
Introductory statistics for business and economics
J. Iglehart (1986)
Early experience with prospective payment of hospitals.The New England journal of medicine, 314 22
B. Vladeċk (1988)
Hospital prospective payment and the quality of care.The New England journal of medicine, 319 21
R. Stern, A. Epstein (1985)
Institutional Responses to Prospective Payment Based on Diagnosis-Related GroupsThe New England Journal of Medicine, 312
Carol McCarthy (1988)
DRGs--five years later.The New England journal of medicine, 318 25
C. Witsberger, G. Kominski (1990)
Recent Trends in Length of Stay for Medicare Surgical Patients
In this series we have described changes in the quality of care that have occurred in the treatment of hospitalized elderly Medicare patients with one of five conditions between 1981-1982 and 1985-1986. In this article we report on a mortality analysis, patient and hospital subgroup comparisons, and time series studies we have conducted in an attempt to determine whether changes in quality of care can be linked causally to the introduction of the prospective payment system. Based on these analyses we conclude that (1) mortality following hospitalization has been unaffected by the introduction of the prospective payment system, and improvements in in-hospital processes of care that began prior to the prospective payment system have continued after its introduction, but (2) the prospective payment system has increased the likelihood that a patient will be discharged home in an unstable condition. We recommend that efforts to correct this problem be intensified and that clinical monitoring of the impact of the prospective payment system continue as hospital cost-containment pressures intensify. (JAMA. 1990;264:1989-1994)
JAMA – American Medical Association
Published: Oct 17, 1990
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