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The Impact of Diagnosis Related Group Profitability on the Skimming and Dumping of Psychiatric Diagnosis Related Groups

Author

Listed:
  • Michael J. Long

    (Department of Health Services Administration and Community Medicine, University of Alberta, Edmonton, Alberta, Canada T6G 2G3)

  • Steven T. Fleming

    (Department of Health Services Management, The University of Missouri, Columbia, Missouri, USA)

  • James D. Chesney

    (College of Urban, Labor and Metropolitan Affairs, Wayne State University, Detroit, Michigan, USA)

Abstract

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 that same period of time (dumping). The findings generally indicate that this did not happen.

Suggested Citation

  • Michael J. Long & Steven T. Fleming & James D. Chesney, 1993. "The Impact of Diagnosis Related Group Profitability on the Skimming and Dumping of Psychiatric Diagnosis Related Groups," International Journal of Social Psychiatry, , vol. 39(2), pages 108-120, June.
    • Handle: RePEc:sae:socpsy:v:39:y:1993:i:2:p:108-120
    DOI: 10.1177/002076409303900204
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    References listed on IDEAS

    as
    1. Himmelstein, D.U. & Woolhandler, S. & Harnly, M. & Bader, M.B. & Silber, R. & Backer, H.D. & Jones, A.A., 1984. "Patient transfers: Medical practice as social triage," American Journal of Public Health, American Public Health Association, vol. 74(5), pages 494-497.
    2. Kellermann, A.L. & Hackman, B.B., 1988. "Emergency department patient 'dumping': An analysis of interhospital transfers to the regional medical center at Memphis, Tennessee," American Journal of Public Health, American Public Health Association, vol. 78(10), pages 1287-1292.
    3. Berliner, H.S., 1988. "Patient dumping--no one wins and we all lose," American Journal of Public Health, American Public Health Association, vol. 78(10), pages 1279-1280.
    Full references (including those not matched with items on IDEAS)

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