Diagnosis-related groups and general hospital psychiatry: The APA study

J. T. English, S. S. Sharfstein, D. J. Scherl, B. Astrachan, I. L. Muszynski

Research output: Contribution to journalArticlepeer-review

107 Scopus citations


Psychiatric units in general hospitals are exempt from diagnosis-related groups (DRGs), a system of per case prospective payment that is used for the majority of patients covered by Medicare. The American Psychiatric Association purchased a large hospital discharge data base and studied the potential impact of DRGs on psychiatric patients and inpatient psychiatric units in general hospitals. There was substantial inaccuracy in the psychiatric DRGs' prediction of resource use, which could lead to inappropriate discharge of patients and financial risk to hospitals that treat more severe cases. The authors advocate further research because psychiatry must anticipate prospective payment in the future.

Original languageEnglish (US)
Pages (from-to)131-139
Number of pages9
JournalAmerican Journal of Psychiatry
Issue number2
StatePublished - Jan 1 1986

ASJC Scopus subject areas

  • Psychiatry and Mental health


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