Psychiatric hospital length of stay for medicaid clients before and after managed care

被引：8
|
作者：
McFarland, BH [1 ]
Khorramzadeh, S [1 ]
Millius, R [1 ]
Mahler, J [1 ]
机构：
[1] Oregon Hlth & Sci Univ, Sch Med, Dept Psychiat, Portland, OR 97201 USA
来源：
ADMINISTRATION AND POLICY IN MENTAL HEALTH AND MENTAL HEALTH SERVICES RESEARCH | 2002年 / 29卷 / 03期
关键词：
capitation; length of stay; managed care; Medicaid;
D O I：
10.1023/A:1015178308087
中图分类号：
R19 [保健组织与事业（卫生事业管理）];
学科分类号：
摘要：
Managed care systems allegedly discharge psychiatric inpatients "quicker and sicker" than fee-for-service programs. Study subjects were admitted to a general hospital that served adjacent counties. During 1994, both counties operated fee-for-service Medicaid mental health systems. In 1995, one county remained fee-for-service and the other assumed inpatient financial risk. Lengths of stay declined in both counties between 1994 and 1996. Managed care patients had longer lengths of stay than their fee-for-service counterparts (even after adjustment for confounders). Secular trends and practice patterns may influence length of stay more than managed care.
引用
收藏
页码：191 / 199
页数：9
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