Authors
Derek C Angus, Walter T Linde-Zwirble, Carl A Sirio, Armando J Rotondi, Lakshmipathi Chelluri, Richard C Newbold, Judith R Lave, Michael R Pinsky
Publication date
1996/10/2
Journal
Jama
Volume
276
Issue
13
Pages
1075-1082
Publisher
American Medical Association
Description
Objective
—To determine whether insurance status (managed care vs traditional commercial and Medicare) influences resource consumption (as measured by length of stay [LOS]) in the intensive care unit (ICU).
Design
—Retrospective analysis of the 1992 Massachusetts state hospital discharge database, using prospectively developed and validated risk-stratification models.
Setting
—All nonfederal hospitals in Massachusetts.
Subjects
—Of all adult hospitalizations where an ICU stay was incurred (n=104270), we selected those covered by 1 of 4 payer groups (n=88 050): (1) commercial fee-for-service (patients aged <65 years); (2) commercial managed care (patients aged <65 years); (3) traditional Medicare (patients aged ≥65 years); and (4) Medicare-sponsored managed care (patients aged ≥65 years).
Main Outcome Measure
—Mean ICU LOS.
Analysis
—The ICU LOS regression models were constructed using …
Total citations
Scholar articles
DC Angus, WT Linde-Zwirble, CA Sirio, AJ Rotondi… - Jama, 1996