Incorporating severity of illness and comorbidity in case-mix measurement

The Severity of Illness Index as a severity adjustment to diagnosis-related groups

This article discusses the Severity of Illness case-mix groups, and suggests a refinement to diagnosis-related groups (DRG's) designed to accommodate the important element of patient severity. An application of the suggested refinement is presented in a discussion of the efficient production of hospital services. The following areas are addressed. A brief summary of the goals and development of...

Characterizing comorbidity in dialysis patients: principles of measurement and applications in risk adjustment and patient care.

Comorbid conditions are highly prevalent in dialysis patients and are significant predictors of mortality and other adverse outcomes. Accordingly, it is important to account for differences in comorbid illness burden among groups of dialysis patients being compared. At present, there is no consensus on what conditions matter, how each should be defined, and what weights each carries when defini...

Ingredients for Good Health Policy-Making: Incorporating Power and Politics into the Mix

Evaluating and improving the measurement

This issue of Health Care Financing Review is devoted entirely to the accuracy of hospital case-mix measurement systems for reimbursing hospitals. We have brought together eight articles by active workers in this field, representing the most promising efforts to improve case-mix measurement. Although severity of illness is an organizing theme for these articles, their scope is much broader. The...

Comorbidity Affecting the Severity of COVID-19 Infection in Iraq

Aims: COIVD-19 Patients suffering from other diseases such as diabetic mellitus, asthma and obstructive pulmonary disease have increased morbidity and mortality rates resulting in more hospitalization and intensive therapy unit admissions. The study aimed to characterise and investigate the clinical pattern and the severity of symptoms in COVID-19 patients and to study its relationship with the...