Use of hospital care in ALS patients in the Regione Lombardia under the DRG payment system

G. Filippini, G. Cazzaniga, M. Farinotti, M. Ferrarini

Research output: Contribution to journalArticle

Abstract

The objectives were to evaluate the use of hospitalisation for amyotrophic lateral sclerosis (ALS) patients within the Regione Lombardia and to assess the impact of the new payment system based on DRGs. The discharge data on 1341 patients with a principal diagnosis of ALS (code 335.2 in the ICD-9) in 1994 and 1995 were analysed. The principal results were: 1) the rates of hospitalisation and readmission increased by 135% and 200% respectively between 1994 and 1995; 2) the rates of hospitalisation ranged from 4.4 to 7.3 per 100.000 population and from 4.8 to 9.9 per 100.000 respectively in 1994 and 1995 among the 9 provinces; 3) three provinces had rates of hospitalisation and readmission significantly above the regional average; 5) only 56% of the patients were hospitalised in neurological departments; 6) there was wide variation in average length of stay (10-18 days), and in the use of readmission (12%- 46%) among the hospitals. This variation changed very little after adjustment for age, sex and comorbidity index. The increased rate of hospitalisation may have been fastened by DRG system that apparently favours hospitalisation. Has this increased hospitalisation for ALS patients produced better health?

Original languageEnglish
Pages (from-to)38
Number of pages1
JournalItalian Journal of Neurological Sciences
Volume18
Issue number4
Publication statusPublished - 1997

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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