What future for diagnosis related groups?

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Diagnosis related groups.

History Diagnosis Related Groups (DRGs) were developed in the late 1960s by American researchers in response to the rising cost of health care. DRGs provide a finance and patient classification system using diagnosis, type of treatment, age and other related factors as the screening criteria. Hospitals are paid a predetermined amount of money for treating patients from a given DRG, regardless o...

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Diagnosis-related groups: implications for psychiatry

The escalating cost of medical care in most industrial countries has given impetus to several different strat egies designed to impose limitations on cost and introduce efficiency into health care systems. In the United States of America, legislation was passed in 1983 to introduce a system of prospective payment for Medicare hospital expenditures. This change was a departure from the previous ...

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Funding and future diagnosis related group development.

PURPOSE Diagnosis Related Groups (DRGs) are widely used for a variety of purposes including quality improvement, hospital output measurement and funding. DRGs are a patient classification scheme which provides a means of relating the type of patients a hospital treats (i.e., its casemix) to the costs incurred by the hospital. This is done by classifying patients into mutually exclusive groups b...

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Potential for inpatient-outpatient substitution with diagnosis-related groups

Through analysis of data from the universal health insurance system in Manitoba, Canada, surgical diagnosis-related groups (DRG's) with the greatest potential for inpatient-outpatient substitution are identified. Candidates for both "inpatient shift" and "outpatient shift" are discussed. It is also suggested that determination of the procedure chiefly responsible for hospital admission compleme...

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Using diagnosis-related groups for studying variations in hospital admissions

The diagnosis-related groups (DRG's) have classically focused on resources consumed during a hospital stay. DRG's can also be considered categories for describing cases admitted to a hospital. In this article, we illustrate how consistent patterns of variations in admission rates can be used to classify DRG categories according to the Index of Discretionary Admissions. The consistency of variat...

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ژورنال

عنوان ژورنال: Sozial- und Präventivmedizin SPM

سال: 1989

ISSN: 0303-8408,1420-911X

DOI: 10.1007/bf02080403