Diagnosis Related Groups In Europe Moving Towards Transparency Efficiency And Quality In Hospitals

Author : Reinhard Busse,Alexander Geissler,Wilm Quentin,Miriam Wiley
Publisher : McGraw-Hill Education (UK)
Page : 490 pages
File Size : 50,6 Mb
Release : 2011-11-16
Category : Medical
ISBN : 9780335245581

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EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals by Reinhard Busse,Alexander Geissler,Wilm Quentin,Miriam Wiley Pdf

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. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector

Author : Caryn Bredenkamp,Sarah Bales,Kristiina Kahur
Publisher : World Bank Publications
Page : 69 pages
File Size : 55,5 Mb
Release : 2019-12-19
Category : Medical
ISBN : 9781464815218

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Transition to Diagnosis-Related Group (DRG) Payments for Health by Caryn Bredenkamp,Sarah Bales,Kristiina Kahur Pdf

This book examines how nine different health systems--U.S. Medicare, Australia, Thailand, Kyrgyz Republic, Germany, Estonia, Croatia, China (Beijing) and the Russian Federation--have transitioned to using case-based payments, and especially diagnosis-related groups (DRGs), as part of their provider payment mix for hospital care. It sheds light on why particular technical design choices were made, what enabling investments were pertinent, and what broader political and institutional issues needed to be considered. The strategies used to phase in DRG payment receive special attention. These nine systems have been selected because they represent a variety of different approaches and experiences in DRG transition. They include the innovators who pioneered DRG payment systems (namely the United States and Australia), mature systems (such as Thailand, Germany, and Estonia), and countries where DRG payments were only introduced within the past decade (such as the Russian Federation and China). Each system is examined in detail as a separate case study, with a synthesis distilling the cross-cutting lessons learned. This book should be helpful to those working on health systems that are considering introducing, or are in the early stages of introducing, DRG-based payments into their provider payment mix. It will enhance the reader's understanding of how other countries (or systems) have made that transition, give a sense of the decisions that lie ahead, and offer options that can be considered. It will also be useful to those working in health systems that already include DRG payments in the payment mix but have not yet achieved the anticipated results.

Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 128 pages
File Size : 49,8 Mb
Release : 2019-10-17
Category : Electronic
ISBN : 9789264805903

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Improving Healthcare Quality in Europe Characteristics, Effectiveness and Implementation of Different Strategies by OECD,World Health Organization Pdf

This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.

Author : National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care
Publisher : National Academies Press
Page : 473 pages
File Size : 48,6 Mb
Release : 2015-12-29
Category : Medical
ISBN : 9780309377720

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Improving Diagnosis in Health Care by National Academies of Sciences, Engineering, and Medicine,Institute of Medicine,Board on Health Care Services,Committee on Diagnostic Error in Health Care Pdf

Getting the right diagnosis is a key aspect of health care - it provides an explanation of a patient's health problem and informs subsequent health care decisions. The diagnostic process is a complex, collaborative activity that involves clinical reasoning and information gathering to determine a patient's health problem. According to Improving Diagnosis in Health Care, diagnostic errors-inaccurate or delayed diagnoses-persist throughout all settings of care and continue to harm an unacceptable number of patients. It is likely that most people will experience at least one diagnostic error in their lifetime, sometimes with devastating consequences. Diagnostic errors may cause harm to patients by preventing or delaying appropriate treatment, providing unnecessary or harmful treatment, or resulting in psychological or financial repercussions. The committee concluded that improving the diagnostic process is not only possible, but also represents a moral, professional, and public health imperative. Improving Diagnosis in Health Care, a continuation of the landmark Institute of Medicine reports To Err Is Human (2000) and Crossing the Quality Chasm (2001), finds that diagnosis-and, in particular, the occurrence of diagnostic errorsâ€"has been largely unappreciated in efforts to improve the quality and safety of health care. Without a dedicated focus on improving diagnosis, diagnostic errors will likely worsen as the delivery of health care and the diagnostic process continue to increase in complexity. Just as the diagnostic process is a collaborative activity, improving diagnosis will require collaboration and a widespread commitment to change among health care professionals, health care organizations, patients and their families, researchers, and policy makers. The recommendations of Improving Diagnosis in Health Care contribute to the growing momentum for change in this crucial area of health care quality and safety.

Author : Anonim
Publisher : World Health Organization
Page : 71 pages
File Size : 53,7 Mb
Release : 2020-06-30
Category : Law
ISBN : 9789240006713

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Diagnosis-related groups by Anonim Pdf

Author : Therese Feiler,Joshua Hordern,Andrew Papanikitas
Publisher : Routledge
Page : 229 pages
File Size : 45,6 Mb
Release : 2018-01-19
Category : Medical
ISBN : 9781351736848

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Marketisation, Ethics and Healthcare by Therese Feiler,Joshua Hordern,Andrew Papanikitas Pdf

How does the market affect and redefine healthcare? The marketisation of Western healthcare systems has now proceeded well into its fourth decade. But the nature and meaning of the phenomenon has become increasingly opaque amidst changing discourses, policies and institutional structures. Moreover, ethics has become focussed on dealing with individual, clinical decisions and neglectful of the political economy which shapes healthcare. This interdisciplinary volume approaches marketisation by exploring the debates underlying the contemporary situation and by introducing reconstructive and reparative discourses. The first part explores contrary interpretations of ‘marketisation’ on a systemic level, with a view to organisational-ethical formation and the role of healthcare ethics. The second part presents the marketisation of healthcare at the level of policy-making, discusses the ethical ramifications of specific marketisation measures and considers the possibility of reconciling market forces with a covenantal understanding of healthcare. The final part examines healthcare workers’ and ethicists’ personal moral standing in a marketised healthcare system, with a view to preserving and enriching virtue, empathy and compassion. Chapters 4 and 7 of this book are freely available as downloadable Open Access PDFs at http://www.taylorfrancis.com under a Creative Commons Attribution-Non Commercial-No Derivatives (CC-BY-NC-ND) 4.0 license.

Author : OECD,World Health Organization,Barber Sarah L,Lorenzoni Luca,Ong Paul
Publisher : OECD Publishing
Page : 298 pages
File Size : 42,5 Mb
Release : 2019-06-26
Category : Electronic
ISBN : 9789264508866

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Price Setting and Price Regulation in Health Care by OECD,World Health Organization,Barber Sarah L,Lorenzoni Luca,Ong Paul Pdf

The objectives of this study are to describe experiences in price setting and how pricing has been used to attain better coverage, quality, financial protection, and health outcomes. It builds on newly commissioned case studies and lessons learned in calculating prices, negotiating with providers, and monitoring changes. Recognising that no single model is applicable to all settings, the study aimed to generate best practices and identify areas for future research, particularly in low- and middle-income settings. The report and the case studies were jointly developed by the OECD and the WHO Centre for Health Development in Kobe (Japan).

Author : Helena Legido-Quigley
Publisher : World Health Organization
Page : 242 pages
File Size : 40,7 Mb
Release : 2008
Category : Medical
ISBN : 9789289071932

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Assuring the Quality of Health Care in the European Union by Helena Legido-Quigley Pdf

People have always travelled within Europe for work and leisure, although never before with the current intensity. Now, however, they are travelling for many other reasons, including the quest for key services such as health care. Whatever the reason for travelling, one question they ask is "If I fall ill, will the health care I receive be of a high standard?" This book examines, for the first time, the systems that have been put in place in all of the European Union's 27 Member States. The picture it paints is mixed. Some have well developed systems, setting standards based on the best available evidence, monitoring the care provided, and taking action where it falls short. Others need to overcome significant obstacles.

Author : F.H. Roger-France
Publisher : Unknown
Page : 221 pages
File Size : 52,8 Mb
Release : 1989
Category : Diagnosis related groups
ISBN : 9073045010

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Diagnosis related groups in Europe : [EFMI-Working Conference '89 on DRGs] by F.H. Roger-France Pdf

Because of the extension of DRG uses for research purposes in most European countries, they are de facto becoming a new standard for hospital comparisons. Why are Europeans so interested in DRGs? What are some benefits and shortcomings of this method? Can they be applied easily. How to control data quality? What are the present results for hospital management, medical decision making and quality of care? EFMI, the European Federation for Medical Informatics which groups scientific societies from 18 countries felt that it was getting time to hold a working conference on this topic. The present book gives an appropriate update for all those who need to know about changes in health care management.

Author : OECD,World Health Organization
Publisher : OECD Publishing
Page : 132 pages
File Size : 50,6 Mb
Release : 2015-11-02
Category : Electronic
ISBN : 9789290617327

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Case-based Payment Systems for Hospital Funding in Asia An Investigation of Current Status and Future Directions by OECD,World Health Organization Pdf

The report focuses on a review of the implementation experience of case-based and DRG mechanisms in the Asia and Pacific region, drawing particularly on research in Australia, Japan, New Zealand, the Republic of Korea, Singapore and Thailand.

Author : Jonathan Cylus,Irene Papanicolas,Peter C. Smith
Publisher : Health Policy
Page : 264 pages
File Size : 42,5 Mb
Release : 2016-12-15
Category : Medical
ISBN : 9289050411

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Health System Efficiency by Jonathan Cylus,Irene Papanicolas,Peter C. Smith Pdf

In this book the authors explore the state of the art on efficiency measurement in health systems and international experts offer insights into the pitfalls and potential associated with various measurement techniques. The authors show that: - The core idea of efficiency is easy to understand in principle - maximizing valued outputs relative to inputs, but is often difficult to make operational in real-life situations - There have been numerous advances in data collection and availability, as well as innovative methodological approaches that give valuable insights into how efficiently health care is delivered - Our simple analytical framework can facilitate the development and interpretation of efficiency indicators.

Author : OECD
Publisher : OECD Publishing
Page : 168 pages
File Size : 45,8 Mb
Release : 2016-06-29
Category : Electronic
ISBN : 9789264258211

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OECD Health Policy Studies Better Ways to Pay for Health Care by OECD Pdf

This report looks at payment reform, one of many policy tools being used to improve health system performance.

Author : Peter Triantafillou,Jenny M. Lewis
Publisher : Edward Elgar Publishing
Page : 331 pages
File Size : 54,6 Mb
Release : 2024-01-18
Category : Political Science
ISBN : 9781802200645

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Handbook on Measuring Governance by Peter Triantafillou,Jenny M. Lewis Pdf

Measuring governance has become an increasingly important feature of modern societies, with organizations and institutions expected to prove their worth by quantifying their activities and results. This unique Handbook maps historical developments, theoretical conceptions and key approaches, and summarizes what is known about measuring governance from a variety of fields of practice.

Author : Alain Venot,Anita Burgun,Catherine Quantin
Publisher : Springer Science & Business Media
Page : 494 pages
File Size : 50,9 Mb
Release : 2013-09-02
Category : Medical
ISBN : 9782817804781

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Medical Informatics, e-Health by Alain Venot,Anita Burgun,Catherine Quantin Pdf

Over the years, medical informatics has matured into a true scientific discipline. Fundamental and applied aspects are now taught in various fields of health, including medicine, dentistry, pharmacy, nursing and public health. Medical informatics is also often included in the curricula of many other disciplines, including the life sciences, engineering and economics. Medical informatics is a complex and rapidly changing discipline. Relatively few books have been published on the subject, and they rapidly become obsolete. This book is the fruit of a collaborative effort between authors teaching medical informatics in France and others who are conducting research in this field. In addition, an international perspective was pursued, as reflected in the inclusion of various developments and actions in both the USA and Europe. This book is divided into 18 chapters, all of which include learning objectives, recommendations for further reading, exercises and bibliographic references.

Author : Miriam M. Wiley,Mary A. Laschober,Hellen Gelband
Publisher : Congress
Page : 176 pages
File Size : 49,9 Mb
Release : 1995
Category : Business & Economics
ISBN : MINN:31951D01235291P

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Hospital Financing in Seven Countries by Miriam M. Wiley,Mary A. Laschober,Hellen Gelband Pdf

Examines hospital financing in Canada, England France, Germany, the Netherlands, Sweden and the United States.