Metersky et al1 reported that a shorter length of stay as a result of the introduction of the prospective payment system (PPS) among older patients with pneumonia admitted to acute care hospitals in the United States between 1991 and 1997 was associated with a more frequent placement in nursing homes and with an excess risk of mortality within 30 days after discharge. A similar payment system was introduced in Italy in 1994; and despite many reports of effects similar to those in the United States, there is no information available on pneumonia. We investigated whether the outcomes of medical care delivered to older patients with pneumonia in academic and community hospitals in Italy have changed since the implementation of PPS.
Onder G, Bernabei R, Cesari M, Gambassi G. Prospective Payment System and Hospitalization for Pneumonia in Italy. Arch Intern Med. 2001;161(15):1918-1919. doi: