Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals

Häftad, Engelska, 2011

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Beskrivning

Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives.

Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes:

A clearly structured introduction to the main ‘building blocks’ of DRG systems
An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care
12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden
Clearly structured and detailed information about the most important DRG system characteristics in each of these countries
Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector

Produktinformation

Utgivningsdatum:2011-11-16
Mått:153 x 232 x 27 mm
Vikt:696 g
Format:Häftad
Språk:Engelska
Antal sidor:568
Förlag:McGraw-Hill Education
ISBN:9780335245574

Utforska kategorier

Hälso- och sjukvård: administration och ledning inom Medicin

Mer om författaren

Reinhard Busse is Professor and Head of the Department of Healthcare Management at Berlin University of Technology, Germany.Alexander Geissler is a research fellow in the Department of Health Care Management at Berlin University of Technology, Germany.Wilm Quentin is a research fellow in the Department of Health Care Management at Berlin University of Technology, Germany.Miriam M. Wiley is Professor and Head of the Health Research and Information Division at the Economic and Social Research Institute in Dublin, Ireland.Series EditorsJosep Figueras is Head of the Secretariat and Research Director of the European Observatory on Health Systems and Policies and Head of the European Centre for Health Policy, World Health Organization Regional Office for Europe. Martin McKee is Research Director of the European Observatory on Health Systems and Policies and Professor of European Public Health at the London School of Hygiene & Tropical Medicine as well as a co-director of the School’s European Centre on Health of Societies in Transition.

Innehållsförteckning

Part One1. From the origins of DRGs to their implementation in Europe2. Introduction to DRGs in Europe: Common objectives across different hospital systems3. Understanding DRGs and DRG-based hospital payment in Europe4. DRG systems and similar patient classification systems in Europe5. DRGs and cost accounting: Which is driving which?6. DRG-based hospital payment: Intended and unintended consequences7. DRG-based hospital payment and efficiency: Theory, evidence, and challenges8. DRGs and quality: For better or worse?9. Technological innovation in DRG-based hospital payment systems across Europe10. Moving towards transparency, efficiency and quality in hospitals: Conclusions and recommendationsPart Two11. Austria: Inpatient care and the LKF framework12. England: The Healthcare Resource Group system13. France: Implementing Homogeneous Patient Groups in a mixed market14. Germany: Understanding G-DRGs15. Ireland: A review of casemix applications within the acute public hospital system16. NordDRG: The benefits of coordination17. Estonia: Developing NordDRGs within social health insurance18. Finland: DRGs in a decentralized health care system19. Sweden: The history, development and current use of DRGs20. Poland: The Jednorodne Grupy Pacjentów – Polish experiences with DRGs21. Portugal: Results of 25 years of experience with DRGs22. Spain: A case study on diversity of DRG use – The Catalan experience23. The Netherlands: The Diagnose Behandeling Combinaties