PMID- 17464902
OWN - NLM
STAT- MEDLINE
DCOM- 20070801
LR  - 20191210
IS  - 0034-3536 (Print)
IS  - 0034-3536 (Linking)
VI  - 46
IP  - 2
DP  - 2007 Apr
TI  - [Rehabilitation and Diagnosis Related Groups (REDIA Study): impact of DRG 
      introduction in the acute sector on medical rehabilitation in Germany].
PG  - 74-81
AB  - As experiences from other countries show, introduction and use of Diagnosis 
      Related Groups (DRG), as of January 2004 now also mandatory in Germany, may have 
      a significant impact on associated rehabilitation. The Institute of Hospital 
      Management (IKM) in a multi-centre study promoted by Deutsche Rentenversicherung 
      Bund and Deutsche Rentenversicherung Westfalen is conducting a study regarding 
      potential diversion of healthcare expenditures from acute care towards 
      rehabilitation as a result of DRG introduction in Germany. For documentation of 
      potential short-term changes in patient populations and patient streams, 
      extensive data have been collected in the first two phases in 2003/04 and 2005/06 
      for a total of 1342 cardiologic and orthopaedic patients. Indication-specific 
      comparison of the two phases showed significantly shorter stays in the acute 
      sector as well as shorter transition times between the sectors, resulting in an 
      intake of patients into rehabilitative care at an earlier stage of their recovery 
      process. Significant diversion of treatment efforts from the acute to the 
      rehabilitative sector, regarding increased nursing effort and potential changes 
      in the therapeutic and medical treatment to be provided, has not been proven as 
      yet. The increase in wound problems expected by practitioners was confirmed in 
      the orthopaedic area by an increasing number of wound healing disturbances and 
      haematomas; in bypass-patients, an increasing number of pericardium and pleura 
      bruises was found. The analyses performed on the data collected revealed no 
      limitations in the patients' ability to participate in rehabilitative measures 
      when the first and the second phase of the study are compared. To be able to 
      depict the further course and interdependencies of changes, continuous systematic 
      observation of developments would be desirable. To ascertain a lasting impact of 
      DRG implementation at least a third study-phase will be necessary, which should 
      be placed at the end of 2008, at the time when the DRG convergence phase will 
      end.
FAU - von Eiff, W
AU  - von Eiff W
AD  - Institut fur Krankenhausmanagement, Westfalische Wilhelms-Universitat Munster.
FAU - Meyer, N
AU  - Meyer N
FAU - Klemann, A
AU  - Klemann A
FAU - Greitemann, B
AU  - Greitemann B
FAU - Karoff, M
AU  - Karoff M
LA  - ger
PT  - Evaluation Study
PT  - Journal Article
PT  - Multicenter Study
TT  - Rehabilitation und Diagnosis Related Groups (REDIA-Studie): Auswirkungen der 
      DRG-Einfuhrung im Akutbereich auf die medizinische Rehabilitation.
PL  - Germany
TA  - Rehabilitation (Stuttg)
JT  - Die Rehabilitation
JID - 0401273
SB  - IM
MH  - Activities of Daily Living/classification
MH  - Adult
MH  - Aged
MH  - Arthroplasty, Replacement, Hip/economics/*rehabilitation
MH  - Arthroplasty, Replacement, Knee/economics/*rehabilitation
MH  - Coronary Artery Bypass/economics/*rehabilitation
MH  - Cost-Benefit Analysis
MH  - Diagnosis-Related Groups/*economics
MH  - Female
MH  - Germany
MH  - Humans
MH  - Length of Stay/economics
MH  - Male
MH  - Menisci, Tibial/*surgery
MH  - Middle Aged
MH  - Myocardial Infarction/economics/*rehabilitation
MH  - National Health Programs/*economics
MH  - Outcome and Process Assessment, Health Care
MH  - Patient Care Team/economics
MH  - Patient Satisfaction
MH  - Postoperative Complications/economics/rehabilitation
MH  - Quality Assurance, Health Care/economics
EDAT- 2007/04/28 09:00
MHDA- 2007/08/02 09:00
CRDT- 2007/04/28 09:00
PHST- 2007/04/28 09:00 [pubmed]
PHST- 2007/08/02 09:00 [medline]
PHST- 2007/04/28 09:00 [entrez]
AID - 10.1055/s-2007-971043 [doi]
PST - ppublish
SO  - Rehabilitation (Stuttg). 2007 Apr;46(2):74-81. doi: 10.1055/s-2007-971043.