The impact of diagnosis related group profitability on the skimming and dumping of psychiatric diagnosis related groups.
Psychiatric DRGs are identified in terms of their relative profitability within each hospital of a 386 hospital cohort. It is then determined whether hospitals admitted more of the more profitable and fewer of the less profitable patients over the period 1983-1987 (skimming). Also determined is whether hospitals discharged more of the less profitable to other short term hospitals over the same period of time (dumping). The findings generally indicate that this did not happen.
Long
M J
MJ
Department of Health Services Administration and Community Medicine, University of Alberta, Edmonton, Canada.
Fleming
S T
ST
Chesney
J D
JD
D003362:Cost-Benefit Analysis; D003953:Diagnosis-Related Groups / Q000191:economics*; D004991:Ethics, Institutional; D006777:Hospitals, Proprietary / Q000191:economics; D006778:Hospitals, Psychiatric / Q000191:economics; D006801:Humans; D017057:Medically Uninsured; D006278:Medicare / Q000191:economics; D001523:Mental Disorders / Q000191:economics* / Q000628:therapy; D010343:Patient Admission / Q000191:economics; D010360:Patient Transfer / Q000191:economics*; D011445:Prospective Payment System / Q000191:economics; D014481:United States