Diagnosis related groups in Europe: moving towards transparency, efficiency, and quality in hospitals?

@article{Busse2013DiagnosisRG,
  title={Diagnosis related groups in Europe: moving towards transparency, efficiency, and quality in hospitals?},
  author={Reinhard Busse and Alexander Geissler and Ain Aaviksoo and Francesc Cots and Unto H{\"a}kkinen and Conrad Kobel and C{\'e}u Mateus and Zeynep Or and Jacqueline O’Reilly and Lisbeth Serd{\'e}n and Andrew Street and Siok Swan Tan and Wilm Quentin},
  journal={BMJ : British Medical Journal},
  year={2013},
  volume={346}
}
Hospitals in most European countries are paid on the basis of diagnosis related groups. Reinhard Busse and colleagues find much variation within and between systems and argue that they could be improved if countries learnt from each other 
Why we need to move beyond diagnosis-related groups and how we might do so
TLDR
Political and administrative decision makers need to fundamentally rethink hospital governance and consider new systems of budgeting and performance measurement, based on the Triple Aim approach. Expand
Common DRG System - the Future of Europe? A Response to Recent Commentary.
  • Gerli Paat-Ahi
  • Medicine
  • International journal of health policy and management
  • 2015
TLDR
This is a short piece in response to the “Heterogeneity of European DRG systems and potentials for a common EuroDRG system” by Alexander Geissler, Wilm Quentin and Reinhard Busse from theEuroDRG team, which offers excellent suggestions to the diagnosis-related group (DRG) systems for further development. Expand
Prelude to a systematic review of activity-based funding of hospitals: potential effects on cost, quality, access, efficiency, and equity
TLDR
The Canadian approach to funding hospitals may be on the verge of a monumental change, but health care system decision-makers throughout the country are now seriously considering an alternative funding model referred to as activity-based funding (ABF). Expand
Distribution of critically ill patients (CIP) with severe sepsis (SS) according to the major diagnostic categories (MDC) of the diagnosis-related groups (DRG).
TLDR
DRG as case - mix system can be useful to classify the SS; if so, it is possible to assign each focus of sepsis to a specific category, which is important from a socio-economic perspective. Expand
How to make sense of health system efficiency comparisons
TLDR
This new policy brief proposes an analytic framework for understanding and interpreting many of the most common health care efficiency indicators. Expand
Did hospitals respond to changes in weights of Diagnosis Related Groups in Norway between 2006 and 2013?
TLDR
The results show that hospitals increased the number of admissions in a specific DRG four times more when the reimbursement was increased, relative to the change for DRGs with reduced rates, demonstrating that contrary to the wishes of policy makers the economic incentives affect hospital reporting and priority setting behavior. Expand
Efficiency estimates of health care systems
Health care spending has been rising faster than national income throughout the EU for decades and is projected to continue doing so as a result of population ageing. However, this paper estimatesExpand
Reimbursement systems and quality of hospital care: an empirical analysis for Italy.
TLDR
An empirical analysis of the Italian hospital system is carried out using data from the National Program for Outcome Assessment on mortality and readmissions for Acute Myocardial Infarction, Congestive Heart Failure, stroke and Chronic Obstructive Pulmonary Diseases in the years 2009-2010. Expand
Heterogeneity of European DRG systems and potentials for a common EuroDRG system Comment on "Cholecystectomy and Diagnosis-Related Groups (DRGs): patient classification and hospital reimbursement in 11 European countries".
TLDR
Beside the national adoption of DRGs for a wide range of purposes (measuring hospital activity vs. paying hospitals), a common DRG system can serve as an international communication basis among health administrators and can reduce the national development efforts as it is demonstrated by the NordDRG consortium. Expand
How much should be paid for Prescribed Specialised Services
Overview. Current policy in the English National Health Service (NHS) promotes concentration of the specialised treatment of relatively rare and complex conditions into a limited number of specialistExpand
...
1
2
3
4
5
...

References

SHOWING 1-10 OF 48 REFERENCES
Diagnosis Related Groups in Europe
Diagnosis-Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivize greater efficiency in the use of resources investedExpand
DRGs: Origin and Dissemination Throughout Europe
To give insight into the development of diagnosis-related groups (DRGs) in Europe during the 1980s, events must be related to the broader historical background of health care services,Expand
The Evolution of Diagnosis‐Related Groups (DRGs): From Its Beginnings in Case‐Mix and Resource Use Theory, to Its Implementation for Payment and Now for Its Current Utilization for Quality Within and Outside the Hospital
TLDR
Why Diagnosis-related groups have had this singular success both in the hospital sector and, over the past 10 years, in ambulatory and managed care settings is reviewed. Expand
Diagnosis-Related Groups for Stroke in Europe: Patient Classification and Hospital Reimbursement in 11 Countries
TLDR
Clinicians and national DRG authorities should consider how other countries’ DRG systems classify stroke patients in order to optimize their DRG system and to ensure fair and appropriate reimbursement. Expand
Funding Victoria's public hospitals: the casemix policy of 2000-2001.
  • P. McNair, S. Duckett
  • Medicine
  • Australian health review : a publication of the Australian Hospital Association
  • 2002
On 1 July 1993 Victoria became the first Australian state to use casemix information to set budgets for its public hospitals commencing with casemix funding for inpatient services. Victoria's casemixExpand
Diagnosis Related Groups: Understanding Hospital Performance
Diagnosis related groups (DRGs) were originally developed to provide product definitions for the output of hospitals. They can serve as a basis for budgeting, cost control, and quality control inExpand
Acute myocardial infarction and diagnosis-related groups: patient classification and hospital reimbursement in 11 European countries
TLDR
Large variation exists in the classification of AMI patients across Europe, and cardiologists and national DRG authorities should consider how other countries' DRG systems classify AMI Patients in order to identify potential scope for improvement and to ensure fair and appropriate reimbursement. Expand
Private sector treatment centres are treating less complex patients than the NHS
TLDR
In general, the NHS is treating more complex patients than private providers, which drives costs, and a fair reimbursement system would require higher payments for NHS providers. Expand
Quality of care before and after implementation of the DRG-based prospective payment system. A summary of effects.
TLDR
It is concluded that mortality following hospitalization has been unaffected by the introduction of the prospective payment system, and improvements in in-hospital processes of care have continued after its introduction, but the prospectivepayment system has increased the likelihood that a patient will be discharged home in an unstable condition. Expand
Has payment by results affected the way that English hospitals provide care? Difference-in-differences analysis
TLDR
Reductions in unit costs may have been achieved without detrimental impact on the quality of care, at least in as far as these are measured by the proxy variables used in this study. Expand
...
1
2
3
4
5
...