The effect of health care delivery systems on admission to and treatment at an inpatient dermatology unit
Article
Kirsner, RS, Hannon, W, Agarwal, A et al. (2000). The effect of health care delivery systems on admission to and treatment at an inpatient dermatology unit
. DERMATOLOGIC CLINICS, 18(3), 391-395. 10.1016/S0733-8635(05)70187-X
Kirsner, RS, Hannon, W, Agarwal, A et al. (2000). The effect of health care delivery systems on admission to and treatment at an inpatient dermatology unit
. DERMATOLOGIC CLINICS, 18(3), 391-395. 10.1016/S0733-8635(05)70187-X
The University of Miami Department of Dermatology has maintained an active inpatient unit. Analysis of data from a 12 month period from 1995-1996 showed 562 admissions. Cutaneous lymphoma, psoriais, and chronic wounds accounted for over half the admissions. Most patients were insured by a fee-for-service system, and compared to patients insured by managed care systems or patients who were indigent, fee-for-service patients had the shortest length of stay. Using a case mix severity index, indigent patients had the greatest disease severity followed by fee-for-service patients. Patients enrolled in managed care systems had the least severity suggesting that factors other than disease severity alone may play a role in determining why patients are admitted.
