Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Prospective Payment and Psychiatric Discharges From General Hospitals With and Without Psychiatric Units
Carl A. Taube; James W. Thompson; Barbara J. Burns; Paul Widem; Carol Prevost
Psychiatric Services 1985; doi:
View Author and Article Information

The authors appreciate the comments of Thomas McGuire, Lanny Morrison, Richard Frank, and Howard Goldman.

The Division of Biometry and Epidemiology, The National Institute of Mental Health, 5600 Fishers Lane, Rockville, Maryland 20852

The Service System and Economics Research Branch

The Clinical Services Research Branch

The Mental Health Economics Research Program, The Service System and Economics Research Branch, The Division of Biometry and Epidemiology

The Commission on Professional and Hospital Activities in Ann Arbor, Michigan

1985 American Psychiatric Association

text A A A
PDF of the full text article.

For psychiatric patients treated in general hospitals, the prospective payment system does not differentiate between patients treated in medical-surgical wards and patients treated in psychiatric units. in particular, the system uses a single length-of-stay norm for both kinds of patients, even though psychiatric patients in medical-surgical units have shorter stays. The authors document major differences in length of stay and hospital charges for both groups of patients in relation to selected patient and hospital characteristics. They conclude that the current reimbursement procedures systematically overpay for stays in nonpsychiatric units and underpay for stays in psychiatric units, and they suggest mechanisms for partly reducing such inequities.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Related Content
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 10.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 62.  >
Dulcan's Textbook of Child and Adolescent Psychiatry > Chapter 10.  >
The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition > Chapter 27.  >
Topic Collections
Psychiatric News
PubMed Articles