Skip to main content
PMC home page
Health Services Research logoLink to Health Services Research
. 1981 Winter;16(4):439–458.

Determinants of Hospital Casemix Complexity

Edmund R Becker 1,2, Bruce Steinwald 1,2
PMCID: PMC1072267  PMID: 6799430

Abstract

Using the Commission on Professional and Hospital Activities' Resource Need Index as a measure of casemix complexity, this paper examines the relative contributions of teaching commitment and other hospital characteristics, hospital service and insurer distributions, and area characteristics to variations in casemix complexity. The empirical estimates indicate that all three types of independent variables have a substantial influence. These results are discussed in light of recent casemix research as well as current policy implications.

Full text

PDF
439

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Garg M. L., Louis D. Z., Gliebe W. A., Spirka C. S., Skipper J. K., Jr, Parekh R. R. Evaluating inpatient costs: the staging mechanism. Med Care. 1978 Mar;16(3):191–201. doi: 10.1097/00005650-197803000-00002. [DOI] [PubMed] [Google Scholar]
  2. Gonnella J. S., Goran M. J. Quality of patient care-a measurement of change: the staging concept. Med Care. 1975 Jun;13(6):467–473. doi: 10.1097/00005650-197506000-00003. [DOI] [PubMed] [Google Scholar]
  3. Horn S. D., Schumacher D. N. An analysis of case mix complexity using information theory and diagnostic related grouping. Med Care. 1979 Apr;17(4):382–389. doi: 10.1097/00005650-197904000-00006. [DOI] [PubMed] [Google Scholar]
  4. Jeffers J. R., Siebert C. D. Measurement of hospital cost variation: case mix, service intensity, and input productivity factors. Health Serv Res. 1974 Winter;9(4):293–307. [PMC free article] [PubMed] [Google Scholar]
  5. Krischer J. P. Indexes of severity: conceptual development. Health Serv Res. 1979 Spring;14(1):56–67. [PMC free article] [PubMed] [Google Scholar]
  6. Rafferty J. Enfranchisement and rationing: effects of Medicare on discretionary hospital use. Health Serv Res. 1975 Spring;10(1):51–62. [PMC free article] [PubMed] [Google Scholar]
  7. Thompson J. D., Fetter R. B., Mross C. D. Case mix and resource use. Inquiry. 1975 Dec;12(4):300–312. [PubMed] [Google Scholar]
  8. Watts C. A., Klastorin T. D. The impact of case mix on hospital cost: a comparative analysis. Inquiry. 1980 Winter;17(4):357–367. [PubMed] [Google Scholar]
  9. Zaretsky H. W. The effects of patient mix and service mix on hospital costs and productivity. Top Health Care Financ. 1977 Winter;4(2):63–82. [PubMed] [Google Scholar]

Articles from Health Services Research are provided here courtesy of Health Research & Educational Trust

RESOURCES