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dc.contributor.authorFisher, D Aen
dc.contributor.authorMurray, J Men
dc.contributor.authorCleary, M Ien
dc.contributor.authorBrewerton, R Een
dc.identifier.citationThe Medical journal of Australia 1998-10-19; 169 Suppl: S11-6en
dc.description.abstractWith increasing implementation of casemix-based funding for hospitals, quantitative data were needed to confirm the clinical impression that treating Aboriginal (compared with non-Aboriginal) inpatients consumes significantly more resources. Utilisation data, collected over a three-month period in 10 hospitals, were used to determine a cost per inpatient episode, which was grouped according to AN-DRG-3 to give a cost per AN-DRG for Aboriginal and Torres Strait Islander (ATSI) patients and non-ATSI patients. ATSI patients had consistently longer average length of stay and significant variation in relative frequency of admissions, compared with non-ATSI patients, with higher prevalences of infectious diseases. Degenerative and neoplastic conditions were more common in non-ATSI patients. There were significant differences in casemix-adjusted costs per patient episode (ATSI, $1856; non-ATSI, $1558; P < 0.001). Our study has quantified differential resource consumption between two Australian populations, and highlights the need for recognition of some hospitals' atypical populations and special funding requirements.en
dc.titleThe Aboriginal and Torres Strait Islander casemix study.en
dc.typeJournal Articleen
dc.typeMulticenter Studyen
dc.identifier.journaltitleThe Medical journal of Australiaen
dc.subject.meshDiagnosis-Related Groupsen
dc.subject.meshEthnic Groupsen
dc.subject.meshFinancing, Governmenten
dc.subject.meshHospital Costsen
dc.subject.meshLength of Stayen
dc.subject.meshNorthern Territoryen
dc.subject.meshOceanic Ancestry Groupen
dc.subject.meshSouth Australiaen
dc.subject.meshWestern Australiaen
dc.identifier.affiliationRoyal Darwin Hospital, NT.
Appears in Collections:(a) NT Health Research Collection

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