NDLI: Applying case-mix methods to ambulatory care

Content Provider	IEEE Xplore Digital Library
Author	Rogerson, C.L.
Copyright Year	1983
Description	Author affiliation: University of California, San Francisco (Rogerson, C.L.)
Abstract	Case-mix based prospective reimbursement methods are being adopted for inpatient care. No similar methods exist for ambulatory care, due to the lack of an accepted outpatient case-mix methodology. Two approaches to ambulatory care case-mix are described. The first is based on classifying patients by their primary problem and their mix of problems treated during a patient-year. The second is based on classifying each visit by primary problem addressed. The adoption of case-mix methods will require the development of many new medical information systems. The use of such systems to describe and analyze ambulatory care over time is discussed. Inpatient and ambulatory care are functionally linked. The development of ambulatory care case-mix systems and their integration with inpatient case-mix systems will allow a major step towards the development of a capitation approach to describing total healthcare costs, by case, for a given population.
Starting Page	603
Ending Page	605
File Size	271390
Page Count	3
File Format	PDF
ISBN	0818605030
DOI	10.1109/SCAMC.1983.764717
Language	English
Publisher	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Publisher Date	1983-10-23
Access Restriction	Subscribed
Rights Holder	Institute of Electrical and Electronics Engineers, Inc. (IEEE)
Subject Keyword	Medical services Costs Medical information systems Hospitals Databases Medical diagnostic imaging Contracts Data analysis Information science Medical treatment
Content Type	Text
Resource Type	Article

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