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在美国,卫生财政部门是按诊断分类定额报销制度来预付经费的。但是各个医院间由于病人病情严重程度的差异,相同的诊断类组病人的费用并不一致。因此,按诊断分类定额预付制度的方案并不合理。本文作者调查六所医院的病人状况与医院特点,研究医院间病人病情严重程度的差异与按诊断分类定额预付制度方案的关系。方法查阅三所大学教学医院(UT1、UT
In the United States, the health finance department prepays funds according to the diagnostic classification and reimbursement system. However, due to the difference in the severity of the patient’s condition between hospitals, the cost of the same diagnosis group patient is not consistent. Therefore, the scheme of pre-paid system by diagnostic classification is not reasonable. The author of this paper investigates the status of patients and characteristics of hospitals in six hospitals, and studies the relationship between the differences in the severity of patients’ conditions between hospitals and the pre-payment system in accordance with diagnostic classifications. Methodology Visit three university teaching hospitals (UT1, UT