PMID- 17550070
OWN - NLM
STAT- MEDLINE
DCOM- 20070809
LR  - 20140729
IS  - 0945-1129 (Print)
IS  - 0945-1129 (Linking)
VI  - 60
IP  - 5
DP  - 2007 May
TI  - [The effects of DRG introduction on nursing].
PG  - 272-6
AB  - Nursing personnel associate Diagnosis Related Groups (DRG), implemented in German 
      hospitals in 2004, mostly with a higher workload and with work that is set apart 
      from their patients. Between 2003 and 2005 the Institut fur Pflegewissenschaft, 
      Universitat Witten/Herdecke, conducted a longitudinal study to measure changes of 
      working structures before, throughout and after the introduction of the 
      case-based lump sum. At three given dates a structured questionnaire was applied 
      to nursing staff and, partially, to doctors in three hospitals in order to assess 
      their subjective view on the effects of DRG introduction. RESULTS were compared 
      to the actual output by multi-moment-recording. RESULTS: The amount of paperwork 
      decreased against expectations. Nevertheless, extra requirements became more 
      comprehensive, while the extent of genuine nursing tasks decreased. In 2005 these 
      tasks were given a lower amount of time than paperwork and extra requirements. 
      Because of methodical restrictions causal relations cannot be established, but 
      this trend has to be monitored closely. Further studies have to be carried out to 
      examine structural changes of nursing tasks and quality of care.
FAU - Galatsch, Michael
AU  - Galatsch M
AD  - Studierende am Institut fur Pflegewissenschaft, Private Universitat 
      Witten/Herdecke gGmbH. michaelgalatsch@gmx.de
FAU - Kruger, Cacilia
AU  - Kruger C
FAU - Quasdorf, Tina
AU  - Quasdorf T
FAU - Schroller, Markus E
AU  - Schroller ME
FAU - Donath, Elke
AU  - Donath E
FAU - Bartholomeyczik, Sabine
AU  - Bartholomeyczik S
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Die Auswirkungen der DRG-einfuhrung aus Sicht der Pflege.
PL  - Germany
TA  - Pflege Z
JT  - Pflege Zeitschrift
JID - 9430463
MH  - Attitude of Health Personnel
MH  - Critical Pathways
MH  - *Diagnosis-Related Groups
MH  - Germany
MH  - Humans
MH  - Medical Records
MH  - *National Health Programs
MH  - *Patient Care Planning
MH  - Patient Discharge
EDAT- 2007/06/07 09:00
MHDA- 2007/08/10 09:00
CRDT- 2007/06/07 09:00
PHST- 2007/06/07 09:00 [pubmed]
PHST- 2007/08/10 09:00 [medline]
PHST- 2007/06/07 09:00 [entrez]
PST - ppublish
SO  - Pflege Z. 2007 May;60(5):272-6.