Diagnosis Related Groups in Europe: Uses and Perspectives

ISBN-13: 9783540571681 / Angielski / Miękka / 1993 / 207 str.

Merce Casas; Miriam M. Wiley; R. B. Fetter

Opis

When John Thompson and I first began talking about finding a way to measure and cost the output of hospitals in the 1960s. we really had no concept of the need for this kind of result. In fact. if we had listened to others in the health services research community. we would rrever have begun or persisted in the task. But it seemed important to us to begin to understand what up until then seemed unexplainable - the rather strange cost behavior of hospitals. We had the benefit of Professor Martin Feld- stein's observation that case-mix was certainly an important factor. but we had literally no guidance on how to make some sense out of the very large number of illnesses that beset the human race. and the very large number of different processes that obtain in our hospitals as they attempt to cope with those illnesses. We were fortunate to find a small number of curious and capable graduate students to join us in this effort. for without them we would not have had a chance of success. While many contrib- uted to the ultimate outcome. it is important to single out Ronald E. Mills. Richard F. Averill. Youngsoo Shin. and Jean L. Freeman for their efforts over many years. The diagnosis-related groups (DRGs) constitute a way of identifying the normal output of hospitals in a consistent and exhaustive manner.

Spis treści

1 Targeting Hospital Products.- Hospital Information Systems in Europe: Trends Towards Uniformity in Patient Record Summaries.- DRGs: Origin and Dissemination Throughout Europe.- DRG Evolution.- DRGs: How Well Do They Define Hospital Products in Europe?.- 2 Using Case-Mix Measures in Europe.- Producing DRG Statistics at the European Level: Lessons from the EURODRG Project.- Training and Awareness: The Key to Successful Use of DRGs.- Outcomes Management: The Italian Case-Mix Project.- 3 Hospital Accounting and Resource Allocation.- Management Accounting in Hospitals: Lessons from Manufacturing.- Costing Hospital Case-Mix: The European Experience.- Using Case-Mix for Resource Allocation.- Using DRGs to Fund Hospitals in Portugal: An Evaluation of the Experience.- Hospital Groups and Case-Mix Measurement for Resource Allocation and Payment.