Beschreibung:
Reinhard Busse is Professor and Head of the Department of Healthcare Management at Berlin University of Technology, Germany.
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.
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 recommendations