02364cam a2200445 i 4500001001900000003000500019008004100024010001600065020001500081027002100096035002000117037001100137040001900148043001200167050002300179100003600202245010900238264003700347300002700384336002600411337002600437337002800463338003600491338002700527500001900554504005200573520076400625530005801389588004701447650005201494650004601546650006901592650002601661651004001687700003301727710002201760710005801782856005901840999001901899rnd000000000047765RAND920212s1990    cau      b    000 0 eng d  a   91142979  a0833010794  aRAND/R-3940-HCFA  a(Sirsi) a188988  c$20.00  aCstmoRcCstmoR  an-us---00aRA981.A2bW55 19901 aWitsberger, Christina.eauthor.10aRecent trends in length of stay for Medicare surgical patients /cChristina Witsberger, Gerald Kominski. 1aSanta Monica, CA :bRAND,c1990.  axii, 52 pages ;c23 cm  atextbtxt2rdacontent  acomputerbc2rdamedia  aunmediatedbn2rdamedia  aonline resourcebcr2rdacarrier  avolumebnc2rdacarrier  a"August 1990."  aIncludes bibliographical references (p. 51-52).  aHospital 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.  aAlso available on the internet via WWW in PDF format.  aDescription based on print version record. 0aAgedxHospital carezUnited StatesvStatistics. 0aAgedxSurgeryzUnited StatesvStatistics. 0aHospital utilizationxLength of stayzUnited StatesvStatistics. 0aMedicarevStatistics. 0aUnited StatesxStatistics, Medical.1 aKominski, Gerald F.eauthor.2 aRand Corporation.1 aUnited States.bHealth Care Financing Administration.41yOnline Accessuhttp://www.rand.org/pubs/reports/R3940/  c599529d599529