PMID- 14527987
OWN - NLM
STAT- MEDLINE
DCOM- 20040226
LR  - 20191210
IS  - 1353-4505 (Print)
IS  - 1353-4505 (Linking)
VI  - 15
IP  - 5
DP  - 2003 Oct
TI  - Patient-reported quality of life before, compared with after a DRG intervention.
PG  - 433-40
AB  - OBJECTIVE: To evaluate the effects of the introduction of a payment system based 
      on Diagnosis-Related Groups (DRG) on orthopedic patients' perceptions of quality 
      of life after discharge. DESIGN: A prospective longitudinal study performed 
      between 1992 and 1996. SETTING: Two surgical clinics in the County of Gavleborg, 
      Sweden. STUDY PARTICIPANTS: The selection of patients was defined by surgical 
      treatments/diagnoses, and by geographical area. Out of the 40 consecutively 
      recruited patients per year from each hospital, >85% (n = 145 + 140 = 285) 
      completed a questionnaire 1 week post-discharge, and >75% (n = 128 + 127 = 255) 
      did so at a 6-week follow-up. MAIN OUTCOME MEASURE: The Swedish Health-Related 
      Quality of Life Survey (SWED-QUAL) was used to assess quality of life. Straight 
      factoral analyses of variance (ANOVAs) were performed to compare years of 
      assessment in the same hospital/district. RESULTS: The results demonstrated no 
      pattern of significant pre-post differences in patient-reported quality of life. 
      In all years, most quality of life ratings were lower at 1 week compared with 6 
      weeks after discharge. These differences were probably the consequence of 
      recently undergone surgery. CONCLUSION: The overall conclusion is that changes 
      implemented in health care, including the DRGs, had no demonstrable impact on 
      patient ratings of quality of life.
FAU - Ljunggren, Birgitta
AU  - Ljunggren B
AD  - Department of Public Health and Caring Sciences, Uppsala University, Uppsala, 
      Sweden. birgitta.ljunggren@hig.se
FAU - Sjoden, Per-Olow
AU  - Sjoden PO
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - England
TA  - Int J Qual Health Care
JT  - International journal for quality in health care : journal of the International 
      Society for Quality in Health Care
JID - 9434628
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Analysis of Variance
MH  - Catchment Area, Health
MH  - Diagnosis-Related Groups/*classification/economics
MH  - Female
MH  - Humans
MH  - Longitudinal Studies
MH  - Male
MH  - Middle Aged
MH  - Orthopedic Procedures/economics/*rehabilitation
MH  - Outcome Assessment, Health Care/*statistics & numerical data
MH  - Patient Discharge
MH  - Quality of Life/*psychology
MH  - Reimbursement Mechanisms
MH  - Sickness Impact Profile
MH  - Sweden
MH  - Time Factors
EDAT- 2003/10/07 05:00
MHDA- 2004/02/27 05:00
CRDT- 2003/10/07 05:00
PHST- 2003/10/07 05:00 [pubmed]
PHST- 2004/02/27 05:00 [medline]
PHST- 2003/10/07 05:00 [entrez]
AID - 10.1093/intqhc/mzg066 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2003 Oct;15(5):433-40. doi: 10.1093/intqhc/mzg066.