Please use this identifier to cite or link to this item: http://hdl.handle.net/11054/280
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dc.contributor.authorPhelan, P. D.en
dc.contributor.authorBaxter, K.en
dc.contributor.authorBishop, J.en
dc.contributor.authorHudson, I.en
dc.contributor.authorHindle, D.en
dc.date.accessioned2013-05-29T07:01:24Zen
dc.date.available2013-05-29T07:01:24Zen
dc.date.issued1993en
dc.identifier.govdoc00272en
dc.identifier.issn1034-4810en
dc.identifier.urihttp://hdl.handle.net/11054/280en
dc.description.abstractThe ability of diagnosis related groups (DRG) and refinement diagnosis related groups (RDRG) to measure differences in case-mix was investigated using discharge data for patients <18 years of age from three specialist children's hospitals and four district hospitals. While the three children's hospitals each had a greater percentage of RDRG for more complex patients, only one children's hospital had more complex patients based on DRG and RDRG cost weights and on the percentage of diagnoses per discharge. Cost weights based on USA practices may be inappropriate in Australia, and Australian weights will be necessary for firm conclusions. Refinement diagnosis related groups with appropriate cost weights may be acceptable measures of case-mix in specialist children's hospitals, but they have inherent limitations for paediatric patients in that many complex paediatric patients are ill very seriously with one disorder, whereas complex adult patients usually have secondary diagnoses and secondary procedures. Moreover, no DRG version developed in the US will be suitable for use in Australia unless it takes account of medical costs and transfer practice. This study was undertaken with data obtained from Ballarat Base Hospital.en
dc.description.provenanceSubmitted by Gemma Siemensma (gemmas@bhs.org.au) on 2013-05-28T00:22:02Z No. of bitstreams: 0en
dc.description.provenanceApproved for entry into archive by Gemma Siemensma (gemmas@bhs.org.au) on 2013-05-29T07:01:24Z (GMT) No. of bitstreams: 0en
dc.description.provenanceMade available in DSpace on 2013-05-29T07:01:24Z (GMT). No. of bitstreams: 0 Previous issue date: 1993en
dc.publisherWileyen
dc.relation.urihttp://onlinelibrary.wiley.com/doi/10.1111/j.1440-1754.1993.tb00509.x/abstracten
dc.titleDo diagnosis related groups separate the case-mix of a specialist children's hospital and a paediatric unit in a general hospital?en
dc.typeJournal Articleen
dc.type.specifiedArticleen
dc.bibliographicCitation.titleJournal of Paediatrics and Child Healthen
dc.bibliographicCitation.volume29en
dc.bibliographicCitation.issue4en
dc.bibliographicCitation.stpage266en
dc.bibliographicCitation.endpage269en
dc.publisher.placeAustraliaen
dc.subject.healththesaurusPAEDIATRICSen
dc.subject.healththesaurusCHILDREN'S HOSPITALSen
dc.subject.healththesaurusCASE-MIXen
dc.subject.healththesaurusDIAGNOSISen
dc.subject.healththesaurusHOSPITAL ECONOMICSen
dc.date.issuedbrowse1993-01-01en
Appears in Collections:Research Output

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