title: The impact of prospectively set hospital budgets on psychiatric admissions.
abstract: This article examines the impact of prospectively set hospital budgets on rates of admission of psychiatric patients in New York state, U.S.A. The analysis takes advantage of a natural experiment which took place in the early 1980s, whereby a geographic region adopted a prospective hospital budget reimbursement scheme that differed from the prospective per diem reimbursement scheme used in the rest of the state. The results indicate a strong decrease in psychiatric admissions attributable to the experimental payment method.
authors.affiliation: Health Services Research & Development Center, Johns Hopkins University, School of Hygiene, Baltimore, MD 21205.
authors.forename: R G
authors.initials: RG
authors.lastname: Frank
authors.forename: C A
authors.initials: CA
authors.lastname: Jackson
mesh_terms: D000289:Admitting Department, Hospital / Q000706:statistics & numerical data*; D000368:Aged; D006748:Hospital Departments / Q000706:statistics & numerical data*; D006778:Hospitals, Psychiatric / Q000191:economics*; D006801:Humans; D008875:Middle Aged; D009518:New York; D011445:Prospective Payment System