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Financial Risk and Hospital Cost for Elderly Patients: Age- and Non—Age-Stratified Medical Diagnosis Related Groups

Financial Risk and Hospital Cost for Elderly Patients: Age- and Non—Age-Stratified Medical... Abstract • The purpose of this study was to analyze hospital resource consumption for Medicare patients in non—age- and age-stratified medical diagnosis related groups (DRGs). This study of patients in 74 non—age-stratified DRGs (N = 3643) and 113 age-stratified DRGs (N = 2898) demonstrated that older medical patients (usually ≥75 to 80 years of age) had (on average) higher total hospital costs, a longer hospital length of stay, more diagnoses per patient, a greater percentage of outliers, and a higher mortality compared with younger patients in these same DRGs. These findings raise the question of the equity of DRG payment vis-à-vis older Medicare patients in both non—age- and age-stratified medical DRGs. Financial disincentives to treat older medical patients may limit both their access and quality of care in the future. (Arch Intern Med 1988;148:909-912) http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Internal Medicine American Medical Association

Financial Risk and Hospital Cost for Elderly Patients: Age- and Non—Age-Stratified Medical Diagnosis Related Groups

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-9926
eISSN
1538-3679
DOI
10.1001/archinte.1988.00380040149021
Publisher site
See Article on Publisher Site

Abstract

Abstract • The purpose of this study was to analyze hospital resource consumption for Medicare patients in non—age- and age-stratified medical diagnosis related groups (DRGs). This study of patients in 74 non—age-stratified DRGs (N = 3643) and 113 age-stratified DRGs (N = 2898) demonstrated that older medical patients (usually ≥75 to 80 years of age) had (on average) higher total hospital costs, a longer hospital length of stay, more diagnoses per patient, a greater percentage of outliers, and a higher mortality compared with younger patients in these same DRGs. These findings raise the question of the equity of DRG payment vis-à-vis older Medicare patients in both non—age- and age-stratified medical DRGs. Financial disincentives to treat older medical patients may limit both their access and quality of care in the future. (Arch Intern Med 1988;148:909-912)

Journal

Archives of Internal MedicineAmerican Medical Association

Published: Apr 1, 1988

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