Funding for psychiatric consultation-liaison (C-L) services has been a difficult problem.
It has been suggested that the identification of psychiatric co-morbidities in Medicare patients on medical services could generate incremental hospital revenue by moving patients from a lower to a higher paying Diagnostic Related Group (DRG).
This increased revenue could be used as a means of supporting the psychiatric C-L service.
This study documents the financial impact of screening for and documenting psychiatric co-morbidities on a general acute medical service.
We clinically assessed 100 consecutive Medicare admissions and found 25 psychiatric co-morbidities in 20 patients.
In only one case did the psychiatric diagnosis result in moving the case to a higher DRG.
Mots-clés Pascal : Maladie, Association morbide, Trouble psychiatrique, Hôpital général, Psychiatrie liaison, Consultation psychiatrique, Economie santé, Assurance maladie, Homme, Système santé, Etats Unis, Medicare, Remboursement, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Disease, Concomitant disease, Mental disorder, General hospital, Liaison psychiatry, Psychiatric consultation, Health economy, Health insurance, Human, Health system, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 94-0420740
Code Inist : 002B30A01B. Création : 199406.