This paper empirically investigates the resource distribution dynamics across Diagnosis Related Groups (DRGs) of elective surgery patients, in a continuing Prospective Payment System (PPS). Existing econometric literature has mainly focussed on the impact of PPS on average Length of Stay (LOS) concluding that the average LOS has declined post PPS. There is little literature on the distribution ...

BACKGROUND Investigate into the medical expenditures of chronic kidney disease (CKD) patients through path analysis method of three consecutive years within a Grade-A tertiary hospital in Beijing to conduct the main influencing factors in diagnosis-related groups (DRGs) grouping of the diagnosis, and reassess the present grouping process to provide information and reference on cost control for ...

The purpose of this investigation was to re-evaluate the neurotrophic effect of GPI-1046 on neurite outgrowth in vitro. GPI-1046 was synthesized and identified with mass spectrometry, nuclear magnetic resonance and elemental analysis. Chicken dorsal root ganglions (DRGs) were removed and divided into three groups: (1) The DRGs were cultured in DMEM containing different concentrations of GPI-104...

ABSTRACT Background. Previous economic studies have compared the cost effectiveness of different heparins used as prophylaxis against venous thromboembolism (VTE) in medical patients at risk. These pharmacoeconomic evaluations have revealed cost benefits of enoxaparin over unfractionated heparin (UFH). However, these modeling studies generally do not use “real-life” hospital data to calculate t...

OBJECTIVE To analyze the frequency and length of hospital stays as well as the frequency of diabetes-associated outpatient visits of children and adolescents with type 1 diabetes before and after the introduction of DRGs (diagnosis-related groups) in German hospitals. METHODS For this prospective cohort study, data from 2000 (before introduction of DRGs) to 2008 (after introduction) was extra...

BACKGROUND Since 2012, Swiss inpatient dermatology is funded through a flat rate payment system based on diagnosis-related groups (DRGs). OBJECTIVE To analyze the reimbursement of nonsurgically treated severe disorders of the skin under the system called SwissDRG. METHODS Three retrospective, cross-sectional cohort studies were performed. Data sets were received from the Swiss Federal Offic...

Since 1995 Australian health insurers have been able to purchase health services pro-actively through negotiating contracts with hospitals, but little is known about their experience of purchasing. This paper examines the current status of purchasing through interviews with senior managers representing all Australian private health insurers. Many of the traditional tools used to generate compet...

Recent legislation designed to reduce the costs of the Medicare program has led to prospective payment for services rendered to inpatients in acute hospitals based on predeterrnined rate diagnostic criteria (1), These Diagnostic Related Groups (DRGs) have the potential to create new limits on the provision of occupational therapy, Since the system is new and untested, many questions arise regar...

England, France, Germany, the Netherlands, and Sweden spend less as a share of gross domestic product on hospital care than the United States while delivering high-quality services. All five European countries have hospital payment systems based on diagnosis-related groups (DRGs) that classify patients of similar clinical characteristics and comparable costs. Inspired by Medicare's inpatient pr...

We use the introduction of diagnosis related groups (DRGs) in German neonatology to study the determinants of upcoding. Since 2003, reimbursement is based inter alia on birth weight, with substantial discontinuities at eight thresholds. These discontinuities create incentives to upcode preterm infants into classes of lower birth weight. Using data from the German birth statistics 1996-2010 and ...