The development of diagnosis related group system in healthcare

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Razvoj sistema skupine primerljivih primerov v zdravstvu

Članek podaja vsebinski in časovni pregled razvoja sistemov plačevanja po skupinah primerljivih primerov. Sistem je bil sprva uveden kot managersko orodje za znižanje stroškov in povečanje učinkovitosti. Sistem plačevanja skupin primerljivih primerov je sledil razvoju medicine in sodeloval v izgradnji sistema kakovosti in varnosti bolnikov. V zadnjih letih so v nekaterih državah že pričeli poplačevati kakovost zdravstvenih izidov. Sodobni trend celostne obravnave bolnikov bo zahteval ponovno prilagoditev sistema plačevanja v zdravstvu.

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  • Fetter RB Thompson JD Mills RE. A system for cost and re-imbursement control in hospitals. Yale J Biol Med 1976; 49(2): 123-36.

  • Centers for Medicare and Medicaid: Acute inpatient PPS. Pridobljeno s spletne strani 30. 4. 2011: http://www.cms.gov/AcuteInpatientPPS/

  • Centers for Medicare and Medicaid: Hospital Outpatinet PPS. Pridobljeno s spletne strani 30. 4. 2011: http://www.cms.gov/HospitalOutpatientPPS/01_overview.asp

  • NHS The information centre. Pridobljeno s spletne strani 30. 4. 2011: http://www.ic.nhs.uk/casemix

  • Canadian Institute for Health Information: Acute Care Grouping Methodologies. Pridobljeno s spletne strani 30. 4. 2011: http://secure.cihi.ca/cihiweb/en/downloads/Acute_Care_Grouping_Methodologies2004_e.pdf

  • Bundesministerium für Gesundheit Familie und Jugend: Leistungsorientierte Krankenanstaltenfinanzierung. LKF Systembeschreibung. Pridobljeno s spletne strani 30. 4. 2011: http://bmg.gv.at/cms/site/attachments/6/4/5/CH0719/CMS1159516854629/systembeschreibung_2009.pdf

  • 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 strani 3. 5. 2011: http://www.dbconderhoud.nl/Over-de-DBC-systematiek/Information-in-english

  • Euro DRG. Pridobljeno s spletne strani 3. 5. 2011: http://www.eurodrg.eu/

  • Cheng P Gilchrist A Robinson KM Paul L. The risk and consequences of clinical miscoding due to inadequate medical documentation: a case study of the impact on health services funding. Health Information Management J 2009; 38(1): 35-46.

  • To Err is human: building a safer health system. Pridobljeno s spletne strani 30. 4. 2011: http://iom.edu/Reports/1999/To-Err-is-Human-Building-A-Safer-Health-System.aspx

  • Crossing the quality chasm: a new health system for the 21st century. Pridobljeno s spletne strani 3. 5. 2011: http://iom.edu/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21st-Century.aspx

  • Institute for Healthcare Improvement. Pridobljeno s spletne strani 30. 4. 2011: http://www.ihi.org/ihi

  • National Institute for Health and Clinical Excellence. Pridobljeno s spletne strani 30. 4. 2011. http://www.nice.org.uk/

  • International Network of Agencies for Health Technology Assessment. Pridobljeno s spletne strani 3. 5. 2011: http://inahta.episerverhotell.net/HTA/

  • Miller HD. From volume to value: better ways to pay for health care. Health Aff 2009; 28(5): 1418-28.

  • Payment by results. Pridobljeno s spletne strani 3. 5. 2011: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_124356

  • The Casemix Service: HRG4 Design Concepts. 2007. Pridobljeno s spletne strani 30. 4. 2011: http://www.ic.nhs.uk/webfiles/Services/casemix/Prep%20HRG4/

  • Thorpe JH Weiser C. Medicare quality measurement and reporting programs. Pridobljeno s spletne strani 3. 5. 2011: http://www.healthreformgps.org/resources/medicare-quality-measurement-and-reporting-programs/

  • Centers for Medicare and Medicaid Services: POA fact sheet. Pridobljeno s spletne strani 3. 5. 2011: http://www.cms.gov/HospitalAcqCond/07_EducationalResources.asp#TopOfPage

  • Centers for Medicare and Medicaid Services: Hospital Acquired conditions. Pridobljeno s spletne strani 3. 5. 2011: http://www.cms.gov/HospitalAcqCond/06_Hospital-Acquired_Conditions.asp#TopOfPage

  • Averill RF McCullough EC Hughes JS Goldfield NI Vertrees JC Fuller RL. Redesigning the medicare inpatient PPS to reduce payments to hospitals with high readmission rates. Health Care Financ Rev 2009; 30(4): 1-15.

  • Best practice tariffs. Pridobljeno s spletne strani 3. 5. 2011: http://www.dh.gov.uk/en/Managingyourorganisation/NHSFinancialReforms/DH_105080

  • PbR guidance. Pridobljeno s spletne strani 3. 5. 2011: http://www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_124356

  • The PROMETHEUS payment. Pridobljeno s spletne strani 3. 5. 2011: http://www.prometheuspayment.org/node/4/

  • Gold J. Accountable care organizations explained. Pridobljeno s spletne strani 30. 4. 2011: http://www.npr.org/2011/04/01/132937232/accountable-careorganizations-explained

  • Minkman MMN Ahaus KTB Huijsman R. A four phase development model for integrated care services in the Netherlands. BMC Health Services Research 2009 9: 42.

  • Direct Graduate Medical Education. Pridobljeno s spletne strani 30. 4. 2011: http://www.cms.gov/AcuteInpatientPPS/06_dgme.asp

  • Indirect Medical Education. Pridobljeno s spletne strani 30. 4. 2011: http://www.cms.gov/AcuteInpatientPPS/07_ime.asp#TopOfPage

  • Higher Education Funding Council for England. Pridobljeno s spletne strani 30. 4. 2011: http://www.hefce.ac.uk/aboutus/health/funding.htm

  • Service Increment For Teaching. Pridobljeno s spletne strani 30. 4. 2011: http://www.medev.ac.uk/blog/megans-blog/2011/apr/20/service-increment-forteaching-sift-in/

  • Anderson GF Markovich P. Multinational comparisons of health systems data 2008. The Commonwealth Fund April 2010. Pridobljeno s spletne strani 3. 5. 2011: http://www.commonwealthfund.org/Content/Publications/Chartbooks/2010/Apr/Multinational-Comparisonsof-Health-Systems-Data-2008.aspx

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