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Nursing Science Quarterly
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Hospital Payment Source and Length-of-Stay

Louette R. Johnson Lutjens, RN; PhD

Grand Valley State University Allendale, MI

The primary aim of the research reported here is to examine elements of the theory of social organizations as adaptive systems as derived from Roy's model by investigating the ability of hospital payment source to predict length-of-stay. A retrospective review was conducted of 3,297 records of patients discharged under 1 of 10 frequently occurring diagnosis-related groups. Two groups were formed to isolate the contextual stimulipatients whose hospital care was paid for under a diagnosis-related-group payment system and patients whose hospi-. tal care was paid for under a per diem payment system. The Tilton 0 statistic indicated a high degree of similarity between the two patient groups. Thus, length-of-stay could not be effectively predicted based on the source of payment to the hospital.

Key Words: Length-of-Stay • Organizations as Adaptive Systems • Roy Adaptation Model

Nursing Science Quarterly, Vol. 7, No. 4, 174-179 (1994)
DOI: 10.1177/089431849400700410
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