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  <titleInfo>
    <title>Recent trends in length of stay for Medicare surgical patients</title>
  </titleInfo>
  <name type="personal">
    <namePart>Witsberger, Christina.</namePart>
    <role>
      <roleTerm authority="marcrelator" type="text">creator</roleTerm>
    </role>
    <role>
      <roleTerm type="text">author.</roleTerm>
    </role>
  </name>
  <name type="personal">
    <namePart>Kominski, Gerald F.</namePart>
    <role>
      <roleTerm type="text">author.</roleTerm>
    </role>
  </name>
  <name type="corporate">
    <namePart>Rand Corporation</namePart>
  </name>
  <name type="corporate">
    <namePart>United States</namePart>
    <namePart>Health Care Financing Administration.</namePart>
  </name>
  <typeOfResource>text</typeOfResource>
  <genre authority="marc">bibliography</genre>
  <originInfo>
    <place>
      <placeTerm type="code" authority="marccountry">cau</placeTerm>
    </place>
    <dateIssued encoding="marc">1990</dateIssued>
    <issuance>monographic</issuance>
  </originInfo>
  <language>
    <languageTerm authority="iso639-2b" type="code">eng</languageTerm>
  </language>
  <physicalDescription>
    <form authority="marcform">print</form>
    <extent>xii, 52 pages ; 23 cm</extent>
  </physicalDescription>
  <abstract>Hospital length of stay declined steadily during the 1970s, then rapidly during the early years of the Medicare Prospective Payment System (PPS). This study examines these trends in hospital length of stay for Medicare patients between 1979 and 1987 for all cases combined, for medical and surgical cases separately, for different geographic regions, for surgical procedures grouped according to organ system, and for the highest-volume surgical procedures. The rate of decline in length of stay varied across procedures but was relatively uniform across geographic regions during this period. The mix of surgical procedures performed on an inpatient basis changed substantially, primarily because of changing technology and greater use of outpatient surgery.</abstract>
  <note type="statement of responsibility">Christina Witsberger, Gerald Kominski.</note>
  <note>"August 1990."</note>
  <note>Includes bibliographical references (p. 51-52).</note>
  <note>Also available on the internet via WWW in PDF format.</note>
  <subject>
    <geographicCode authority="marcgac">n-us---</geographicCode>
  </subject>
  <subject authority="lcsh">
    <topic>Aged</topic>
    <topic>Hospital care</topic>
    <geographic>United States</geographic>
    <topic>Statistics</topic>
  </subject>
  <subject authority="lcsh">
    <topic>Aged</topic>
    <topic>Surgery</topic>
    <geographic>United States</geographic>
    <topic>Statistics</topic>
  </subject>
  <subject authority="lcsh">
    <topic>Hospital utilization</topic>
    <topic>Length of stay</topic>
    <geographic>United States</geographic>
    <topic>Statistics</topic>
  </subject>
  <subject authority="lcsh">
    <topic>Medicare</topic>
    <topic>Statistics</topic>
  </subject>
  <subject authority="lcsh">
    <geographic>United States</geographic>
    <topic>Statistics, Medical</topic>
  </subject>
  <classification authority="lcc">RA981.A2 W55 1990</classification>
  <identifier type="isbn">0833010794</identifier>
  <identifier type="lccn">91142979</identifier>
  <identifier type="stock number"/>
  <identifier type="uri">http://www.rand.org/pubs/reports/R3940/</identifier>
  <location>
    <url displayLabel="Online Access">http://www.rand.org/pubs/reports/R3940/</url>
  </location>
  <recordInfo>
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    <recordCreationDate encoding="marc">920212</recordCreationDate>
    <recordIdentifier source="RAND">rnd000000000047765</recordIdentifier>
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