{"id":"https://openalex.org/W2394800775","doi":"https://doi.org/10.5694/j.1326-5377.1998.tb123468.x","title":"The casemix system of hospital funding can further disadvantage Aboriginal children","display_name":"The casemix system of hospital funding can further disadvantage Aboriginal children","publication_year":1998,"publication_date":"1998-10-01","ids":{"openalex":"https://openalex.org/W2394800775","doi":"https://doi.org/10.5694/j.1326-5377.1998.tb123468.x","mag":"2394800775","pmid":"https://pubmed.ncbi.nlm.nih.gov/9830403"},"language":"en","primary_location":{"id":"doi:10.5694/j.1326-5377.1998.tb123468.x","doi":"https://doi.org/10.5694/j.1326-5377.1998.tb123468.x","is_oa":false,"landing_page_url":"https://doi.org/10.5694/j.1326-5377.1998.tb123468.x","pdf_url":null,"source":{"id":"https://openalex.org/S13978405","display_name":"The Medical Journal of Australia","issn_l":"0025-729X","issn":["0025-729X","1326-5377"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Journal of Australia","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5114018642","display_name":"Alan R Ruben","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210137971","display_name":"Royal Darwin Hospital","ror":"https://ror.org/04jq72f57","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210137971"]}],"countries":["AU"],"is_corresponding":true,"raw_author_name":"Alan R Ruben","raw_affiliation_strings":["Royal Darwin Hospital, Darwin, NT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Darwin Hospital, Darwin, NT","institution_ids":["https://openalex.org/I4210137971"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5032210561","display_name":"Dale Andrew Fisher","orcid":"https://orcid.org/0000-0003-2353-2651","observed_orcids":["https://orcid.org/0000-0003-2353-2651"]},"institutions":[{"id":"https://openalex.org/I4210137971","display_name":"Royal Darwin Hospital","ror":"https://ror.org/04jq72f57","country_code":"AU","type":"healthcare","lineage":["https://openalex.org/I4210137971"]}],"countries":["AU"],"is_corresponding":false,"raw_author_name":"Dale A Fisher","raw_affiliation_strings":["Royal Darwin Hospital, Darwin, NT"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Royal Darwin Hospital, Darwin, NT","institution_ids":["https://openalex.org/I4210137971"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5114018642"],"corresponding_institution_ids":["https://openalex.org/I4210137971"],"apc_list":{"value":3400,"currency":"USD","value_usd":3400},"apc_paid":null,"fwci":1.6487,"has_fulltext":false,"cited_by_count":15,"citation_normalized_percentile":{"value":0.85851009,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":88,"max":94},"biblio":{"volume":"169","issue":"S1","first_page":"S6","last_page":"10"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10348","display_name":"Indigenous Health, Education, and Rights","score":0.8022000193595886,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T10348","display_name":"Indigenous Health, Education, and Rights","score":0.8022000193595886,"subfield":{"id":"https://openalex.org/subfields/3306","display_name":"Health"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T10391","display_name":"Healthcare Policy and Management","score":0.062300000339746475,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.03460000082850456,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/case-mix","display_name":"case mix","score":0.8029999732971191},{"id":"https://openalex.org/keywords/hospital-funding","display_name":"hospital finance","score":0.9929999709129333},{"id":"https://openalex.org/keywords/aboriginal-and-torres-strait-islander-children","display_name":"Aboriginal and Torres Strait Islander children","score":0.9570000171661377},{"id":"https://openalex.org/keywords/indigenous-health-disparities","display_name":"Indigenous health disparities","score":0.5870000123977661},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.8100000023841858},{"id":"https://openalex.org/keywords/comorbidity","display_name":"comorbidities","score":0.8610000014305115},{"id":"https://openalex.org/keywords/urban-rural-differences","display_name":"urban-rural differences","score":0.7720000147819519},{"id":"https://openalex.org/keywords/royal-darwin-hospital","display_name":"Royal Darwin Hospital","score":0.7350000143051147},{"id":"https://openalex.org/keywords/health-care-delivery","display_name":"health care delivery","score":0.3269999921321869}],"concepts":[{"id":"https://openalex.org/C2777673361","wikidata":"https://www.wikidata.org/wiki/Q5281228","display_name":"Disadvantage","level":2,"score":0.8505789637565613},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4964919686317444},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.38199397921562195},{"id":"https://openalex.org/C119767625","wikidata":"https://www.wikidata.org/wiki/Q618211","display_name":"Optometry","level":1,"score":0.3612158000469208},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.21988993883132935},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D000095283","descriptor_name":"Australian Aboriginal and Torres Strait Islander Peoples","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002648","descriptor_name":"Child","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002673","descriptor_name":"Child, Hospitalized","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D003953","descriptor_name":"Diagnosis-Related Groups","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D003953","descriptor_name":"Diagnosis-Related Groups","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D005006","descriptor_name":"Ethnicity","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005380","descriptor_name":"Financing, Government","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D005380","descriptor_name":"Financing, Government","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":true},{"descriptor_ui":"D006760","descriptor_name":"Hospitalization","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000191","qualifier_name":"economics","is_major_topic":false},{"descriptor_ui":"D007902","descriptor_name":"Length of Stay","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015876","descriptor_name":"Northern Territory","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":2,"locations":[{"id":"doi:10.5694/j.1326-5377.1998.tb123468.x","doi":"https://doi.org/10.5694/j.1326-5377.1998.tb123468.x","is_oa":false,"landing_page_url":"https://doi.org/10.5694/j.1326-5377.1998.tb123468.x","pdf_url":null,"source":{"id":"https://openalex.org/S13978405","display_name":"The Medical Journal of Australia","issn_l":"0025-729X","issn":["0025-729X","1326-5377"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Medical Journal of Australia","raw_type":"journal-article"},{"id":"pmid:9830403","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/9830403","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"The Medical journal of Australia","raw_type":"Journal Article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9922999739646912,"display_name":"Good health and well-being"},{"id":"https://metadata.un.org/sdg/10","score":0.7578999996185303,"display_name":"Reduced inequalities"}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/1","score":0.7099999785423279,"display_name":"No poverty"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":6,"referenced_works":["https://openalex.org/W1981337514","https://openalex.org/W2068599603","https://openalex.org/W2102512104","https://openalex.org/W2409688567","https://openalex.org/W2411270203","https://openalex.org/W2411567841"],"related_works":["https://openalex.org/W2398086910","https://openalex.org/W2073624611","https://openalex.org/W7100241180","https://openalex.org/W2439882760","https://openalex.org/W2014731657","https://openalex.org/W2060519279","https://openalex.org/W1494011661","https://openalex.org/W2417655694","https://openalex.org/W2989816952","https://openalex.org/W4390743147"],"abstract_inverted_index":{"The":[0],"Northern":[1],"Territory":[2],"Health":[3],"Service":[4],"implemented":[5],"a":[6,182,214,219,224,227],"casemix":[7,215],"system":[8,217],"of":[9,25,38,49,93,113,117,121,130,152,170,187,202,212,230,232],"hospital":[10,114,160,203],"funding":[11],"in":[12,127,172,181,205],"1996":[13,89],"using":[14],"national":[15,18],"averages":[16],"and":[17,27,30,86,90,99,103,119,137,145,185,200,208],"cost":[19],"weights":[20],"as":[21,140,142],"benchmarks":[22],"for":[23,218],"length":[24,169,201],"stay":[26,171,204],"funding.":[28],"Clinicians":[29],"health":[31,43,60],"administrators":[32],"were":[33,66,75,124],"concerned":[34],"about":[35,197],"the":[36,78,128,166,210],"potential":[37],"this":[39],"model":[40],"to":[41,47],"impair":[42],"service":[44],"delivery,":[45],"especially":[46],"children":[48,69,131,157,174],"Aboriginal":[50],"or":[51,189],"Torres":[52],"Strait":[53],"Islander":[54],"(ATSI)":[55],"descent,":[56],"whose":[57],"current":[58],"poor":[59],"has":[61],"been":[62],"well":[63,141],"described.":[64],"Data":[65,106],"collected":[67,107],"on":[68,223],"aged":[70],"under":[71],"10":[72],"years":[73],"who":[74],"discharged":[76],"from":[77],"Royal":[79],"Darwin":[80],"Hospital":[81],"between":[82,135,143],"1":[83],"July":[84],"1991":[85],"30":[87],"June":[88],"assigned":[91],"one":[92],"four":[94],"DRGs":[95],"(simple":[96],"pneumonia,":[97],"bronchitis":[98],"asthma,":[100],"gastroenteritis,":[101],"nutritional":[102],"metabolic":[104],"disorders).":[105],"included":[108],"age,":[109],"sex,":[110],"ethnicity,":[111],"duration":[112],"stay,":[115],"location":[116],"residence":[118],"presence":[120],"comorbidities.":[122],"There":[123],"significant":[125],"differences":[126],"proportion":[129,151,229],"with":[132,155,165,226],"multiple":[133],"comorbidities":[134],"ATSI":[136,147,153,173,206,233],"non-ATSI":[138,156],"children,":[139,207],"rural-":[144],"urban-dwelling":[146],"children.":[148],"A":[149],"higher":[150],"compared":[154],"had":[158],"prolonged":[159],"stays":[161],"(22.6%":[162],"v.":[163],"1.5%),":[164],"variables":[167],"influencing":[168],"including":[175],"\"age":[176],"<":[177],"2":[178],"years\",":[179],"\"living":[180],"remote":[183],"area\",":[184],"\"presence":[186],"two":[188],"more":[190],"comorbidities\".":[191],"These":[192],"results":[193],"confirm":[194],"clinical":[195],"impressions":[196],"disease":[198],"patterns":[199],"highlight":[209],"problems":[211],"imposing":[213],"classification":[216],"\"typical\"":[220],"Australian":[221],"population":[222],"region":[225],"high":[228],"people":[231],"descent.":[234]},"counts_by_year":[{"year":2023,"cited_by_count":1},{"year":2021,"cited_by_count":1},{"year":2017,"cited_by_count":1},{"year":2012,"cited_by_count":1}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2016-06-24T00:00:00"}