The effect of health care delivery systems on admission to and treatment at an inpatient dermatology unit

Robert Kirsner, Whitney Hannon, Anurag Agarwal, Francisco A. Kerdel

Research output: Contribution to journalArticle

11 Scopus citations

Abstract

The University of Miami Department of Dermatology has maintained an active inpatient unit. Analysis of data from a 12 month period from 1995-1996 showed 562 admissions. Cutaneous lymphoma, psoriais, and chronic wounds accounted for over half the admissions. Most patients were insured by a fee-for-service system, and compared to patients insured by managed care systems or patients who were indigent, fee-for-service patients had the shortest length of stay. Using a case mix severity index, indigent patients had the greatest disease severity followed by fee-for-service patients. Patients enrolled in managed care systems had the least severity suggesting that factors other than disease severity alone may play a role in determining why patients are admitted.

Original languageEnglish
Pages (from-to)391-395
Number of pages5
JournalDermatologic Clinics
Volume18
Issue number3
StatePublished - Sep 2 2000

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ASJC Scopus subject areas

  • Dermatology

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