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15. Pongpirul K, Walker DG, Winch PJ, Robinson C. A qualitative study of DRG coding practice in hospitals under the Thai Universal Coverage Scheme. BMC Health Serv Res
Piotr Szynkiewicz, Petre Iltchev, Anna Piechota, Aleksandra Sierocka and Michał Marczak
. Retrieved from http://www.nfz.gov.pl/new/index.php?katnr=8&dzialnr=2&artnr=4092.
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Conney R.N., Haluck R.S., Ku J., Bass T., MacLeod J., Brunner H., Miller C.A., 2003, Analysis of cost outliers after gastric bypass surgery: what can we learn? , Obesity Surgery, vol. 13, Issue 1, pp. 29-36
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delivery. Therefore, hospitals are incited to gradually increase inputs through increasing the bed occupancy rate, performing unnecessary procedures, and employing new staff, rather than focusing on the results or the quality of care.
To increase the efficiency of hospital healthcare, the World Bank has recommended the introduction of a prospective payment system based on diagnostic-related groups (DRGs) as one of the priorities in the reform of public finances ( 2 ). The DRG is a case-mix system created at Yale University for classifying hospital episodes in groups
Ioan Andrei Vereșiu, Cosmina Bondor and Silvia Ștefania Iancu
Background and Aims. The present study represents the first nationwide evaluation of lower extremities amputations (LEA) in diabetes patients in Romania. Material and
Methods. We used the disease related groups (DRG) data provided by the National School for Public Health, Management and Health Education, for the years 2006-2010 and stratified according to diabetes type, sex and age group. Results. There were 16873 patients with diabetes who underwent a total number of 24312 non traumatic LEA. A total of 22.55% of the patients had type 1 diabetes (T1DM) and 70.26 % had type 2 diabetes (T2DM). The rate of amputations decreased in T1DM and increased in T2DM, especially in elderly people. Male-to-female ratio of amputations was ~2:1 in T1DM and ~2.4:1 in T2DM. The predictions for the number of amputation episodes was approximated by the regression line y=286.8x-572728 r=0.97, p=0.005, d=0.95 in men, and by y=91.1x- 181511, r=0.98, p=0.004, d=0.95 in women ( where x is years and y is number of amputation episodes). Conclusions. Identifying certain age and sex groups of patients with diabetes in whom higher increase of LEA rates are observed imposes a change of strategy concerning prevention and curative measures.
Schreyögg J, Stargardt T, Tiemann O, Busse R. Methods to determine reimbursement rates for DRG: a comparison of nine European countries. Health Care Manag Sci 2006; 9(3): 215-23.
Thomson S, Foubister T, Mossialos E. Financing health care in the European Union. challenges and policy responses. EU Observatory Studies No. 17, European Observatory on Health system and policies. Copengahen: World Health Organization, 2009.
DCB Onderhound. Pridobljeno s spletne
Petre Iltchev, Aleksandra Sierocka, Sebastian Gierczyński and Michał Marczak
HealthLeaders Media. (2011). HealthLeaders Media Impact Analysis. ICD-10 skating on thin margins. Retrived from http://www.healthleadersmedia.com.
HOPE - European Hospital and Healthcare Federation. (2006). DRG as a financing tool. Retrieved from http://www.hope.be/05eventsandpublications/docpublications/77_drg_report/77_drg_report_2006.pdf.
LaValle, S., Hopkins, M., Lesser, E., Shockley, R., & Kruschwitz, N. (2010). Analytics: The new path to value. How the smartest organizations are embedding analytics to transform insights into action. IBM
This paper purposes to provide an user-friendly intelligent tool, integrating fuzzy controllers and multi-agent techniques, able to motivate and to support behavioral change of energy end-users, having as main objective to re-define the role of energy consumer in “prosumer” in the context of a reorganized decentralized energy market, now reported to intelligent grids (smart grids). Integration of interactive technologies in a decision support system for microgrids energy management optimizes: functioning from an economical point of view, active control of distributed generation, controlled consumption, loading the storage equipment. The added value of the proposed tool consists of integrating decision theory and artificial intelligence concepts in monitoring and control actions, allowing “prosumers”: to make energy usage data accessible and to demonstrate that energy savings can be achieved without compromising comfort levels.
1. Roberts, Marc J., Background paper for the Regional Advanced Flagship Course of Efficiency, Quality and Health Systems”, April 9 – 14, 2006 Budapest, Hungary, Health Services Management Training Center Semmelweis University, World Bank Institute
2. “Economie sanitara si Management Financiar” – CPSS si INCDS, Bucuresti, 2003
3. DRG in Romania : http://www.drg.ro
4. OMS 1490 / 2008
5. Haraga S., Impactul ajustarii cazurilor cu durate de spitalizare extreme, Managemnt in sanatate, nr. 3, septembrie 2005
Luleeya Ocharot, Jiruth Sriratanaban, Sureerat Ngamkiatphaisan and Narin Hiransuthikul
concerns over the financial sustainability of public hospitals, and even UHC programs. Although any treatment complications during hospital stay might increase relative weights for inpatient reimbursement under the Thai diagnosis-related-group (Thai-DRG) system, there was no evidence for whether any additional payments would be adequate for compensating the increased costs resulting from AEs. Therefore, the present study aimed to explore whether there might be any uncompensated costs of medical care associated with AEs in a hospital, using standardized cost based on Thai-DRGs